Jacob Zimmerman
Student in an Organized Health Care Education/Training Program in Chicago, IL. Individual provider (NPI-1).
NPI number1609679596
StatusActive
Last updated in NPPESMar 28, 2025
Details
- NPI
- 1609679596
- Entity type
- Individual (NPI-1)
- Name
- Jacob Zimmerman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2025
- Certification date
- Mar 28, 2025
- Last updated
- Mar 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
820 S Wood St Ste 100Chicago, IL 60612-4325
Phone 312-996-2933
Mailing address
820 S Wood St Ste 100Chicago, IL 60612-4325
Phone 312-996-2933
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