Dr. MARK KEVIN JACOB M.D.
Individual Provider (NPI-1)
Active
Internal Medicine, Pulmonary Disease
Provider Information
- NPI Number
1063688497- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1340 CHARLES ST STE 401, ROCKFORD, IL, 611042200
- Phone
- (779) 696-6102
Specialties & Taxonomies
Internal Medicine
License: MI #4301086585
Internal Medicine, Critical Care Medicine
License: IL #036.161882
Internal Medicine, Critical Care Medicine
License: KS #04-331614
Internal Medicine, Pulmonary Disease
License: KS #04-331614
Internal Medicine, Pulmonary Disease
Primary License: NC #2011-01117