SearchIllinois171100000X

Traci Kostak-Jacobson, L.AC

NPI 1023332053 · on the registry since 2010 · sole proprietor

Practice

Address
1005 Parker Ln
Buffalo Grove, IL 60089
Phone
(312) 339-5058

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-03-19

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