Lissiamma Jacob is a Family Medicine Physician based in Peoria, IL. Lissiamma Jacob practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Lissiamma Jacob is 1306835426 and holds a License No. 036054052 (Illinois).
The current practice location address for Lissiamma Jacob is 8600 N State Route 91, Peoria, IL and can be reached out via phone at 309-692-5393 and via fax at 309-692-2538.
Identifier | Type | State | Issuer |
---|---|---|---|
036054052 | 05 | IL |
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