Most Relevant Information
Provider Data
| NPI Number: | 1003834326 |
| Provider Name: | MARK E JACOBS D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 038008275 |
Most Important Dates
| Enumeration Date: | 07/17/2006 |
| Last Updated: | 08/03/2010 |
Provider Practice Location
405 W MAIN ST
GENOA
IL
601351164
Practice Location Phone/Fax
| Phone: | 8157844455 |
| Fax: | 8157844454 |
Provider Mailing Location
405 W MAIN ST
GENOA
IL
601351164
Provider Mailing Phone/Fax
| Phone: | 8157844455 |
| Fax: | 8157844454 |