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Jake Ryan Debosschere, DO
Family Medicine Physician in Berwyn, Illinois
NPI 1992407860

Jake Ryan Debosschere is a Family Medicine Physician based in Berwyn, IL. Jake Ryan Debosschere practices in Berwyn, IL and has the professional credentials of DO. The NPI Number for Jake Ryan Debosschere is 1992407860 and holds a License No. (Illinois).

The current practice location address for Jake Ryan Debosschere is 3249 Oak Park Ave, Berwyn, IL and can be reached out via phone at 708-783-9100.

Location: 3249 Oak Park Ave, Berwyn, IL, 60402-3429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992407860
Provider Name
Jake Ryan Debosschere
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3249 Oak Park Ave, Berwyn, IL, 60402-3429
Phone Number
708-783-9100
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3249 Oak Park Ave
City
Berwyn
State
Illinois
Zip
60402-0715
Phone Number
708-783-9100
Fax Number
person
Provider Business Mailing Address Details
Address
3249 Oak Park Ave
City
Berwyn
State
Illinois
Zip
60402-0715
Phone Number
708-783-9100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
125.082356 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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