| Sapna Jacob M.d, S.c. | |
|
131 E Park Ave Suite 103 Libertyville IL 60048-2800 | |
| (847) 327-1434 | |
| Not Available |
| Full Name | Sapna Jacob M.d, S.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 131 E Park Ave, Libertyville, Illinois |
| Authorized Official Name and Position | Sapna Jacob (PHYSICIAN OWNER) |
| Authorized Official Contact | 5122036211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sapna Jacob M.d, S.c. 131 E Park Ave Suite 103 Libertyville IL 60048-2800 Ph: (847) 327-1434 | Sapna Jacob M.d, S.c. 131 E Park Ave Suite 103 Libertyville IL 60048-2800 Ph: (847) 327-1434 |
| NPI Number | 1730440199 |
|---|---|
| Provider Enumeration Date | 06/01/2012 |
| Last Update Date | 06/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730440199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036-125939 (Illinois) | Primary |
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