Individual provider · Type 1 NPI
Dolma Treesa Jacob, RN
Ambulatory Care Registered Nurse · North Chicago, IL
NPI number
1679274468
Active
Practice location
3001 Green Bay Rd
North Chicago, IL 60064-3048
Fax (224) 610-7568
Mailing address
55 Rue Foret
Lake Forest, IL 60045-1543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 041.404168 (IL) |
Ambulatory Care Registered Nurse: Definition to come...
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About NPI 1679274468
Dolma Treesa Jacob, RN's National Provider Identifier is 1679274468, issued on Mar 17, 2023. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in North Chicago, IL. The record was last updated on Mar 17, 2023.