MEDICARE: JACOB DE GALICIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	146017488	IL

General Provider Information

NPI Number	:	1316834807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB DE GALICIA

Provider Business Mailing Address
First Line	:	44 HACKBERRY LN
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-3452
Country	:	US
Telephone Number	:	773-240-1468
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 LEE ST
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-1514
Country	:	US
Telephone Number	:	847-625-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	06/18/2025

Similar Medicare Providers

1700867033 — SENECA NURSING HOME, INC.
Practice Location Address:

1301 LEE ST
DES PLAINES, IL
60018-1514

Practice Phone: 847-635-4000
Practice Fax: 847-635-5016

1003205493 — POOJA SHAH P.T.
Practice Location Address:

1514 KINGSTON CT
DES PLAINES, IL
60018-1478

Practice Phone: 317-900-6794
Practice Fax:

1043666738 — SENECA NURSING HOME, INC.
Practice Location Address:

1301 LEE ST
DES PLAINES, IL
60018-1514

Practice Phone: 847-635-4000
Practice Fax: 847-635-5016

1285378810 — DANIELA V KRAWCZYK PT
Practice Location Address:

1301 LEE ST
DES PLAINES, IL
60018-1514

Practice Phone: 847-635-4000
Practice Fax:

1720722358 — VERONICA ESPINOZA
Practice Location Address:

1301 LEE ST
DES PLAINES, IL
60018-1514

Practice Phone: 847-635-4000
Practice Fax:

1548128275 — RICHARD J DEBARTOLO JR. PHARMD
Practice Location Address:

2313 S MOUNT PROSPECT RD
DES PLAINES, IL
60018-1811

Practice Phone: 888-346-4158
Practice Fax: 800-369-6512

Directions to “ JACOB DE GALICIA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.