Salli Jacobsen
Salli Jacobsen is an Attendant Care Provider in Loves Park, Illinois. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
6699 Torch Lite TrLoves Park, IL 61111
Phone: (815) 885-3202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1316562788 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 11, 2020 |
| Last updated in NPPES | June 11, 2020 |
| Certification date | June 11, 2020 |
| Mailing address | 6699 Torch Lite Tr, Loves Park, IL 61111 |