Jacob Marlow, H.I.D

NPI 1013381128 · on the registry since 2015

Practice

Address: 2412 E Washington St
Suite 2
Bloomington, IL 61704
Phone: (309) 662-0622
Fax: (309) 662-3384
Organisation at this address: Blueze Llc
Main Healthcare S C
Accuquest Hearing Center, Llc
Speech & Learning Connections
Fountain Healthcare Limited Liability Company
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 237700000X
237700000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois