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Dr. Susan Jacob, MC
Family Medicine Physician in Bloomingdale, Illinois
NPI 1831136019

Susan Jacob is a Family Medicine Physician based in Bolingbrook, IL. Susan Jacob practices in Bloomingdale, IL and has the professional credentials of MC. The NPI Number for Susan Jacob is 1831136019 and holds a License No. 036-110462 (Illinois).

The current practice location address for Susan Jacob is 303 E Army Trail Rd, Bloomingdale, IL and can be reached out via phone at 630-893-8161 and via fax at 630-893-8564.

Location: 303 E Army Trail Rd, Bloomingdale, IL, 60440-7009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831136019
Provider Name
Susan Jacob
Credential
MC
Provider Entity Type
Individual
Gender
Female
Address
303 E Army Trail Rd, Bloomingdale, IL, 60440-7009
Phone Number
630-893-8161
Fax Number
630-893-8564
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036-110462 05 IL
CN4921 01 RRMC
209398 01 GROUP MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
303 E Army Trail Rd
City
Bloomingdale
State
Illinois
Zip
60108-2169
Phone Number
630-893-8161
Fax Number
630-893-8564
person
Provider Business Mailing Address Details
Address
303 E Army Trail Rd
City
Bloomingdale
State
Illinois
Zip
60108-2169
Phone Number
630-893-8161
Fax Number
630-893-8564
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036-110462 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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