DR. Lissiamma Jacob MD

  • NPI 1306835426
According to our database, the NPI number for DR. Lissiamma Jacob MD is 1306835426 and activated since 18 years ago. DR. Lissiamma Jacob MD is an individual provider who specializes in Anesthesiology, and the primary practice location is 8600 N State Route 91, Peoria, IL 61615. You can also contact DR. Lissiamma Jacob MD via telephone number is (309) 692-5393. Provider NPI information was last updated on 08/04/2010.

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Overview of DR. Lissiamma Jacob MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/20/2005
  • Last updated: 08/04/2010

Primary Scrop of Practice

  • Taxonomy Code: 207L00000X
  • Specialty: Anesthesiology
  • License Number: 036054052
  • License State: IL

Provider Mailing Address

  • Address: 8600 N State Route 91
    Suite 250
    Peoria, IL 61615
  • Phone: 309-692-5393
  • Fax: 309-692-2538

Provider Practice Location

  • Address: 8600 N State Route 91
    Suite 250
    Peoria, IL 61615
  • Phone: 309-692-5393
  • Fax: 309-692-2538

Scope of Practice

  • Taxonomy Code: 207L00000X
  • Specialty: Anesthesiology
  • License Number: 036054052
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036054052
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Lissiamma Jacob MD?
  • A: The npi number for DR. Lissiamma Jacob MD is 1306835426.
  • Q: What are DR. Lissiamma Jacob MD's specialties?
  • A: DR. Lissiamma Jacob MD's specialties are Anesthesiology and different specialities.
  • Q: What is the medical license for DR. Lissiamma Jacob MD?
  • A: The medical license number for DR. Lissiamma Jacob MD is 036054052 and issued in IL in USA.
  • Q: Where is DR. Lissiamma Jacob MD practice location?
  • A: DR. Lissiamma Jacob MD is practicing at 8600 N State Route 91, Peoria, IL 61615.
  • Q: How to contact DR. Lissiamma Jacob MD?
  • A: You can contact DR. Lissiamma Jacob MD via 309-692-5393.