Jacob, Abraham

Jacob, Abraham is an sole proprietor health care provider with primary practice located at 5320 159Th St Ste 300 , Oak Forest IL 60452-3333. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jacob, Abraham can be contacted via phone (708) 687-4747.

Contact Information

Primary practice address
5320 159Th St Ste 300 Oak Forest IL 60452-3333
Phone: (708) 687-4747
Fax: (708) 687-4749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois

Profile Details

NPI number 1942497755
LBN Legal business name Jacob, Abraham
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2007
Last updated Sep 26th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942497755 NPPES
Illinois Other 7602301 AETNA
Illinois Other 1515389 AETNA
Illinois Other 1618642 AETNA

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