Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK KEVIN JACOB, M.D.
ActiveDR. MARK KEVIN JACOB, M.D. is a Pulmonary Disease healthcare provider located in ROCKFORD, Illinois. NPI 1063688497 is currently active in the NPPES registry. Verify at CMS.
Pulmonary Disease · ROCKFORD, IL
Registration Details
- NPI Number
- 1063688497
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2008 (18.292211418898 yrs)
- Last Updated
- Dec 27, 2024
- Licenses
-
4301086585 (MI)036.161882 (IL)04-331614 (KS)04-331614 (KS)2011-01117 (NC)
Practice Information
- Address
-
1340 CHARLES ST STE 401ROCKFORD, IL, 611042200Browse IL providers · Browse ZIP 61104
- Phone
- 7796966102
- Primary Specialty
-
Pulmonary Disease
207RP1001X
- Additional Specialty
- Critical Care Medicine
- Additional Specialty
- Critical Care Medicine
- Additional Specialty
- Pulmonary Disease
- Additional Specialty
- Pulmonary Disease
Other Pulmonary Disease Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ABDULLAH ALTAYEH | M.D. | 1831191584 |
| MOHAMED Y ZEATER | MD | 1285690958 |
| DR. MICHAEL PURUCKHERR | MD | 1487684353 |
| THEODORE S. INGRASSIA III | M.D. | 1437263662 |
| FREDRIC C. KULLBERG | M.D. | 1912010273 |
| NADEEM HANIF | M.D. | 1972617181 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.