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

LIDIYA M JACOB, APRN, CNP

Active

LIDIYA M JACOB, APRN, CNP is a Nurse Practitioner healthcare provider located in PALOS HEIGHTS, Illinois. NPI 1689294258 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · PALOS HEIGHTS, IL

Registration Details

NPI Number
1689294258
Provider Type
Individual
Gender
Female
NPI Issued
Apr 23, 2020 (6.3126811932004 yrs)
Last Updated
Dec 30, 2021
License
209021213 (IL)

Practice Information

Address
12251 S 80TH AVE
PALOS HEIGHTS, IL, 604631290
Browse IL providers · Browse ZIP 60463
Phone
6302571111
Fax
6302571115
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in PALOS HEIGHTS, IL

Name Credential NPI
THOMAS F. GUTCHEWSKY APN, CNP 1013918598
MS. NANCY CHRISTINE MELDE CNP 1487606208
ANN MARIE RUSSELL APRN, CNP 1609811330
MRS. CATHLIN B PORONSKY R.N., A.P.N. 1174537526
MR. THOMAS L BERRY N.P. 1104830876
MS. COLLEEN B BILECKI APRN, CNS 1942332051
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.