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Elise Jacob
Professional Counselor in Wilmette, Illinois
NPI 1770116147

Elise Jacob is a Professional Counselor based in Wilmette, IL and is specialized in Professional. Elise Jacob practices in Wilmette, IL. The NPI Number for Elise Jacob is 1770116147 and holds a License No. 180011684 (Illinois).

The current practice location address for Elise Jacob is 3330 Old Glenview Rd Ste 15, Wilmette, IL and can be reached out via phone at 847-256-2000.

Location: 3330 Old Glenview Rd Ste 15, Wilmette, IL, 60091-2963
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770116147
Provider Name
Elise Jacob
Credential
Provider Entity Type
Individual
Gender
Female
Address
3330 Old Glenview Rd Ste 15, Wilmette, IL, 60091-2963
Phone Number
847-256-2000
Fax Number
Provider Enumeration Date
02/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3330 Old Glenview Rd Ste 15
City
Wilmette
State
Illinois
Zip
60091-2963
Phone Number
847-256-2000
Fax Number
person
Provider Business Mailing Address Details
Address
3330 Old Glenview Rd Ste 15
City
Wilmette
State
Illinois
Zip
60091-2963
Phone Number
847-256-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180011684 (Illinois)
Definition
Definition to come...
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