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Search › Illinois › 363L00000X

Amanda Ben Jacob, APRN, CNP

NPI 1700596467 · on the registry since 2022 · sole proprietor

Practice

Address
251 E Huron St Ste 5-704
Chicago, IL 60611
Phone
(312) 695-0061
Fax
(312) 695-9013
Organisation at this address
Northwestern
Northwestern Memorial Hospital
Northwestern Memorial Hospital
Northwestern Memorial Hospital
Northwestern Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,688

Additional practice sites

  • 1821 W Farragut Ave Unit 1, Chicago, IL

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363LP2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-12

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