SAPNA JACOB M.D S.C. NPI 1730440199

NPI Information

NPI: 1730440199
Provider Name: SAPNA JACOB M.D, S.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
131 E PARK AVE
SUITE 103
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 327-1434
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SAPNA JACOB M.D, S.C. is a primary care clinic center in Libertyville, IL. SAPNA JACOB M.D, S.C. NPI is 1730440199. The provider is registered as an organization entity type.

The provider's business location address is:

131 E PARK AVE
SUITE 103
LIBERTYVILLE, IL
ZIP 60048-800
Phone: (847) 327-1434

The provider's authorized official is Sapna Jacob .
The authorized official title is Physician Owner and has the following contact phone number (512) 203-6211.

The enumeration date for this NPI number is 6/1/2012 and was last updated on 6/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	036-125939	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H39330	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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