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NPI Code Detail

MEDICARE: JACOB HOSIER

MEDICARE: JACOB HOSIER
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
1104100000XSocial Worker150117847IL

General Provider Information

NPI Number : 1235885450
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB HOSIER
Provider Business Mailing Address
First Line : 4433 N RAVENSWOOD AVE STE 210
Second Line :
City : CHICAGO
State : IL
Zip : 60640-7755
Country : US
Telephone Number : 773-876-8763
Fax Number : 872-315-3138
Provider Business Practice Location Address
First Line : 4433 N RAVENSWOOD AVE STE 210
Second Line :
City : CHICAGO
State : IL
Zip : 60640-7755
Country : US
Telephone Number : 773-876-8763
Fax Number : 872-315-3138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2022
Last Update Date : 09/09/2025

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Directions to “ JACOB HOSIER ” Practice Location

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