NPI 1023877743

Jacob Larsen White, DO

Practitioner Surgery Physician Park Ridge, IL

Practice location

Address: 1775 Dempster Street Mailbox #48, Park Ridge, IL 60068
Phone: (847) 723-2210
Fax: (847) 723-6987

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 125.086986 (IL)

Other Surgery providers in Illinois →

Registry record

NPI: 1023877743
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2024
Record last updated: 25 Jun 2025

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.