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

Jacob Jose

Individual provider Registered Nurse · NPI 1114852324

Jacob Jose is a Registered Nurse in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

3002 Grand Ave
Waukegan, IL 60085-2321
Phone: (847) 377-8200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 041527435 (IL)

Record details

NPI number1114852324
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2026
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address3002 Grand Ave, Waukegan, IL 60085-2321

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