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

MRS. JULIE JACOBS

Active Sole Proprietor

Residential Treatment, Emotionally Disturbed Children · CHICAGO, IL

Registration Details

NPI Number: 1720351299
Provider Type: Individual
Gender: Female
NPI Issued: Feb 14, 2012 (14.183915018842 yrs)
Last Updated: Feb 14, 2012
License: J21242885605 (IL)
Sole Proprietor: Yes

Practice Information

Address: 7313 N HONORE ST

#2

CHICAGO, IL, 606261794
Browse IL providers · Browse ZIP 60626
Phone: 7736807082
Primary Specialty: Residential Treatment, Emotionally Disturbed Children
322D00000X

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.