IndividualActive
Dolma Jacob, RN
NPI 1679274468 · Ambulatory Care Registered Nurse · North Chicago, IL
Provider details
- NPI number
- 1679274468
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 041.404168 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
3001 Green Bay Rd
North Chicago, IL 60064-3048
Phone: (224) 610-7567
Fax: (224) 610-7568
Approximate (ZIP-level) locationGet directions
Mailing address
55 Rue Foret
Lake Forest, IL 60045-1543
Registry dates
- Enumerated
- 2023-03-17
- Last updated
- 2023-03-17
- Certified
- 2023-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.