Individual
DR. JACOB LAGENE RORABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2355 S WESTERN AVE, CHICAGO, IL 60608-3837
(773) 254-1400
Mailing address
2026 W 22ND PL, CHICAGO, IL 60608-4114
(208) 713-8237
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036157873
IL
Other
Enumeration date
06/21/2018
Last updated
02/12/2025
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