Mutholam, Jacob

Mutholam, Jacob is an individual health care provider with primary practice located at 6400 W College Dr Suite 800, Palos Heights IL 60463-1785. 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. Mutholam, Jacob can be contacted via phone (708) 489-6777.

Contact Information

Primary practice address
6400 W College Dr Suite 800 Palos Heights IL 60463-1785
Phone: (708) 489-6777
Fax: (708) 489-6303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-004073 Illinois

Profile Details

NPI number 1801828272
LBN Legal business name Mutholam, Jacob
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Mar 20th, 2013 - about 13 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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