Individual provider · Type 1 NPI
Jake Ryan Debosschere, DO
Family Medicine Physician · Lakemoor, IL
Practice location
27655 W Il Route 120
Lakemoor, IL 60051-8003
Fax (815) 458-1516
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Other practice locations
- 3249 Oak Park Ave, Berwyn, IL 60402-0715 · (708) 783-9100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician Primary | 207Q00000X | 036-180264 (IL) |
Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2 other providers at this address
Other family medicine physician providers in Lakemoor
About NPI 1992407860
Jake Ryan Debosschere, DO's National Provider Identifier is 1992407860, issued on Mar 21, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lakemoor, IL. The record was last updated on Sep 14, 2026.