Individual provider · Type 1 NPI

Ancy Chakkalakal Jacob, FNP-C

Family Nurse Practitioner · Chicago, IL

NPI number 1457779639 Active

Practice location

1969 W Ogden Ave
Chicago, IL 60612-3765

Call (312) 864-4395 Map

Fax (312) 864-9500

Mailing address

1950 W Polst St. Professional Building, 6 Th Fl. # 17
Chicago, IL 60612

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	209.011429 (IL)
Hospice Registered Nurse	163WH1000X	041-306342 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1457779639

Ancy Chakkalakal Jacob, FNP-C's National Provider Identifier is 1457779639, issued on Apr 3, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Apr 26, 2021.