NPI 1013710516

Jake Kawasaki

Practitioner Physical Medicine & Rehabilitation Physician Wheaton, IL

Practice location

Address: 26w171 Roosevelt Rd, Wheaton, IL 60187-6002
Phone: (630) 909-8000

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 125.085959 (IL)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013710516
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2025
Record last updated: 5 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.