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Jacob Oden
NPI 1649077231 · on the registry since 2025 · sole proprietor
Practice
- Address
- 731 S Plymouth Ct
Chicago, IL 60605 - Phone
- (580) 481-0386
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-28
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