Jennifer Marie Jacobs, O.D. Valid NPI
Individual provider · Optometrist · Minooka, IL
- NPI
- 1366554826
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 046009531 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Practice location
408 W Mondamin St
Minooka, IL 60447-9875
(815) 467-7090