Individual
JACOB LARSEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1775 DEMPSTER STREET, MAILBOX #48, PARK RIDGE, IL 60068
(847) 723-2210
(847) 723-6987
Mailing address
1775 DEMPSTER STREET, MAILBOX #48, PARK RIDGE, IL 60068
(847) 723-2210
(847) 723-3394
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.086986
IL
Other
Enumeration date
03/15/2024
Last updated
06/25/2025
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