| Lawrence T Jacobs Dds Pc | |
|
8235 Grand Ave River Grove IL 60171-1539 | |
| (708) 453-0250 | |
| Not Available |
| Full Name | Lawrence T Jacobs Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8235 Grand Ave, River Grove, Illinois |
| Authorized Official Name and Position | Lawrence T Jacobs (PRESIDENT OWNER) |
| Authorized Official Contact | 7084530250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence T Jacobs Dds Pc 8235 Grand Ave River Grove IL 60171-1539 Ph: (708) 453-0250 | Lawrence T Jacobs Dds Pc 8235 Grand Ave River Grove IL 60171-1539 Ph: (708) 453-0250 |
| NPI Number | 1710041249 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710041249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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