MARK KEVIN JACOB

ROCKFORD, IL
NPI1063688497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: NC  2011-01117)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MI  4301086585)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IL  036.161882)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: KS  04-331614)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: KS  04-331614)
Enumeration Date2008-05-06
Last Update Date2024-12-27
Business Address
Dr. MARK KEVIN JACOB M.D.
1340 CHARLES ST STE 401
ROCKFORD, IL 61104-2200
Phone number: 779-696-6102
Mailing Address
Dr. MARK KEVIN JACOB M.D.
160 ALLEN ST MEDICAL STAFF OFFICE
RUTLAND, VT 05701-4560
Phone number: 913-909-7400