Ancy Chakkalakal Jacob FNP-C

NPI 1457779639 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1457779639
Gender Female
Enumeration Date 04/03/2014
Last Updated 04/03/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
8230 KEYSTONE AVE
SKOKIE IL, 60076-2717, US
Phone (847) 373-1716
Fax
Business Location
8230 KEYSTONE AVE
SKOKIE IL, 60076-2717, US
Phone (847) 373-1716
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Illinois
License Number 209.011429
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According to our database, Mrs. Ancy Chakkalakal Jacob FNP-C NPI is 1457779639, taxonomy code is 363LF0000X and license number is 209.011429, license state is located at Illinois. Ancy Chakkalakal Jacob FNP-C physically located at 8230 Keystone Ave, Skokie IL, 60076-2717. NPI Number Ancy Chakkalakal Jacob FNP-C has the Individual type.

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1457779639 NPI number is provided on an as is basis without warranty of any kind. 1457779639 is maintained by the National Plan & Provider Enumeration System. The contents of Ancy Chakkalakal Jacob FNP-C are for informational purposes only.