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

DR. AMANDA LEIGH BEN JACOB, APRN, CNP

Active Sole Proprietor

DR. AMANDA LEIGH BEN JACOB, APRN, CNP is a Nurse Practitioner healthcare provider located in CHICAGO, Illinois. NPI 1700596467 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · CHICAGO, IL

Registration Details

NPI Number
1700596467
Provider Type
Individual
Gender
Female
NPI Issued
Dec 2, 2022 (3.6627889608752 yrs)
Last Updated
Feb 12, 2024
Licenses
209026253 (IL)
209026253 (IL)
Sole Proprietor
Yes

Practice Information

Address
251 E HURON ST STE 5-704
CHICAGO, IL, 606112908
Browse IL providers · Browse ZIP 60611
Phone
3126950061
Fax
3126959013
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in CHICAGO, IL

Name Credential NPI
TERESA J SAVINO NP 1073514972
CELINE BOERS NP 1750382032
DIANE JUDGE NP 1801888193
MRS. JUDITH ANN SUTTON NP 1346235033
ELLEN K SEDER NP 1851380257
NOREEN P OCONNOR NP 1295724441
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.