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Jake Royko

NPI 1376116442 · on the registry since 2021

Practice

Address
5459 N Spaulding Ave Apt 1w
Chicago, IL 60625
Phone
(847) 284-4400

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-09

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