Individual provider · Type 1 NPI

Jacob D. Rudolph, MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1306696737 Active

Practice location

1740 W Taylor St
Chicago, IL 60612-7232

Call (312) 996-2933 Map

Mailing address

820 S Wood St Ste 100
Chicago, IL 60612-4325

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X1306696737 (IL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1,222 other providers at this address

Other student in an organized health care education/training program providers in Chicago

See all in Chicago →

About NPI 1306696737

Jacob D. Rudolph, MD's National Provider Identifier is 1306696737, issued on Mar 26, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Mar 26, 2024.