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Search › Illinois › Psychiatry Physician

Ann Jacob

NPI 1619396207 · on the registry since 2014 · sole proprietor

Practice

Address
901 W Jefferson St
Springfield, IL 62702
Phone
(312) 513-0307
Organisation at this address
Mirrors Inc
Board Of Trustees Of Southern Illinois University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
Psychiatry Physician
2084P0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-26

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