Search › Illinois › 207RP1001X
Mark Jacob, M.D
NPI 1063688497 · on the registry since 2008
Practice
- Address
- 1340 Charles St Ste 401
Rockford, IL 61104 - Phone
- (779) 696-6102
- Organisation at this address
- Warren L Lowry Sc
Swedishamerican Hospital
Swedishamerican Hospital
Swedishamerican Hospital
Swedishamerican HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 84
Additional practice sites
- 160 Allen St, Rutland, VT
- 601 John St Ste M-510, Kalamazoo, MI
- 363 Fremont St Ste 100, Battle Creek, MI
- 300 E Warwick Dr, Alma, MI
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 207R00000X
207RC0200X
207RC0200X
207RP1001X - Licence states on file
- MI, IL, KS, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois