Search › Illinois › 3747A0650X

Salli Jacobsen

NPI 1316562788 · on the registry since 2020 · sole proprietor

Practice

Address
6699 Torch Lite Tr
Loves Park, IL 61111
Phone
(815) 885-3202

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Sex
Male
Record last updated
2020-06-11

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