Individual provider · Type 1 NPI

Lidiya M. Jacob, APRN, CNP

Nurse Practitioner · Palos Heights, IL

NPI number 1689294258 Active

Practice location

12251 S 80th Ave
Palos Heights, IL 60463-1290

Call (630) 257-1111 Map

Fax (630) 257-1115

Other practice locations

  • 20635 Abbey Woods Ct N # S, Frankfort, IL 60423-3181 · (815) 464-9779

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209021213 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

224 other providers at this address

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About NPI 1689294258

Lidiya M. Jacob, APRN, CNP's National Provider Identifier is 1689294258, issued on Apr 23, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Palos Heights, IL. The record was last updated on Dec 30, 2021.