AMBILI JACOB

Nurse Practitioner

Active Individual
NPI: 1275369126

Practice Address

22285 N PEPPER RD STE 409
Lake Barrington, IL 60010

Phone: (847) 382-7165

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 041410871 (IL)
Student in an Organized Health Care Education/Training Program 390200000X No -
Nurse Practitioner 363L00000X Yes 209.030952 (IL)

Frequently Asked Questions

NPI 1275369126 is the National Provider Identifier for AMBILI JACOB, a Nurse Practitioner provider located in Lake Barrington, IL. This NPI was enumerated on September 9, 2024.
AMBILI JACOB practices at 22285 N PEPPER RD STE 409, Lake Barrington, IL 60010.

Quick Facts

NPI
1275369126
Type
Individual
Enumerated
Sep 9, 2024
Last Updated
May 16, 2025

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