Jacobs, Tom

Jacobs, Tom is an individual health care provider with primary practice located at 3759 W 95Th St Suite 3, Evergreen Park IL 60805-2000. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jacobs, Tom can be contacted via phone (866) 296-5262.

Contact Information

Primary practice address
3759 W 95Th St Suite 3 Evergreen Park IL 60805-2000
Phone: (866) 296-5262
Fax: (312) 558-1570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1588787188
LBN Legal business name Jacobs, Tom
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 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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