Individual provider · Type 1 NPI

Nolan Jacob Interial, DO

Nephrology Physician · Rockford, IL

NPI number 1093343964 Active

Practice location

612 Roxbury Rd
Rockford, IL 61107-5089

Call (815) 227-8300 Map

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300X81106-21 (WI)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1093343964

Nolan Jacob Interial, DO's National Provider Identifier is 1093343964, issued on Mar 27, 2020. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Rockford, IL. The record was last updated on Aug 17, 2026.