Provider Demographics
NPI:1295482982
Name:SAIGER, JACOB M
Entity type:Individual
Prefix:
First Name:JACOB
Middle Name:M
Last Name:SAIGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 LONGFORD RD
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-1917
Mailing Address - Country:US
Mailing Address - Phone:630-659-9699
Mailing Address - Fax:
Practice Address - Street 1:5411 E STATE ST STE 4
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61108-2908
Practice Address - Country:US
Practice Address - Phone:815-315-0542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician