Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melissa Jacob

Organization Physical Therapy Clinic/Center · NPI 1205330628

Melissa Jacob is a Physical Therapy Clinic/Center in Northlake, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
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Practice location Address checks out

420 N Wolf Rd
Northlake, IL 60164-1670
Phone: (708) 562-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 070022999 (IL)

Record details

NPI number1205330628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kent Lattanzi — Human Resource Assistant · (410) 667-7200
NPI enumeratedMarch 20, 2018
Last updated in NPPESApril 17, 2018
Mailing address3n464 Patricia Ln, Elmhurst, IL 60126-1210