Jacob, Mark William
Jacob, Mark William is an sole proprietor health care provider with primary practice located at 4119 Dundee Rd , Northbrook IL 60062-2129. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jacob, Mark William can be contacted via phone (847) 564-2180.Contact Information
Primary practice address
4119 Dundee Rd
Northbrook IL 60062-2129
Phone: (847) 564-2180
Fax: (847) 564-2466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1275659955 |
|---|---|
| LBN Legal business name | Jacob, Mark William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 8th, 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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