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Angela Jacob
Student in an Organized Health Care Education/Training Program in Wheaton, Illinois
NPI 1053992560

Angela Jacob is a Student in an Organized Health Care Education/Training Program based in Wheaton, IL. Angela Jacob practices in Wheaton, IL. The NPI Number for Angela Jacob is 1053992560 and holds a License No. (Illinois).

The current practice location address for Angela Jacob is 26W171 Roosevelt Rd, Wheaton, IL and can be reached out via phone at 630-909-8000.

Location: 26W171 Roosevelt Rd, Wheaton, IL, 60187-6002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053992560
Provider Name
Angela Jacob
Credential
Provider Entity Type
Individual
Gender
Female
Address
26W171 Roosevelt Rd, Wheaton, IL, 60187-6002
Phone Number
630-909-8000
Fax Number
Provider Enumeration Date
04/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26W171 Roosevelt Rd
City
Wheaton
State
Illinois
Zip
60187-6002
Phone Number
630-909-8000
Fax Number
person
Provider Business Mailing Address Details
Address
26W171 Roosevelt Rd
City
Wheaton
State
Illinois
Zip
60187-6002
Phone Number
630-909-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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