DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAPNA JACOB, MD

Active

DR. SAPNA JACOB, MD is a Adolescent Medicine healthcare provider located in LIBERTYVILLE, Illinois. NPI 1447330709 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · LIBERTYVILLE, IL

Registration Details

NPI Number
1447330709
Provider Type
Individual
Gender
Female
NPI Issued
Oct 17, 2006 (19.81998651202 yrs)
Last Updated
Sep 24, 2012
Licenses
L1096 (TX)
036125939 (IL)

Practice Information

Address
131 E PARK AVE
SUITE 103
LIBERTYVILLE, IL, 600482800
Browse IL providers · Browse ZIP 60048
Phone
8473271434
Fax
8475738570
Primary Specialty
Adolescent Medicine
207QA0505X
Additional Specialty
Adolescent Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.