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Search › Illinois › 363LA2200X

Michelle Jacob, AGNP

NPI 1033548045 · on the registry since 2013

Practice

Address
4500 Memorial Dr
Dept Anesthesiology
Belleville, IL 62226
Phone
(800) 862-9980
Fax
(314) 362-7785
Organisation at this address
Msa Alliance, Llc
Memorial Hospital
Msa Alliance, Llc
Msa Alliance, Llc
Cepamerica Illinois Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
203

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-21

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