Internal Medicine, Pulmonary Disease
Dr. MARK JACOB M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1063688497 · enumerated 2008-05-06 · record updated 2024-12-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1340 CHARLES ST STE 401, ROCKFORD, IL, 61104-2200 (779) 696-6102 Google Maps Apple Maps OpenStreetMap
- Mailing address 160 ALLEN ST, MEDICAL STAFF OFFICE, RUTLAND, VT, 05701-4560 (913) 909-7400 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · License 4301086585 MI
- Internal Medicine, Critical Care Medicine 207RC0200X · License 036.161882 IL
- Internal Medicine, Critical Care Medicine 207RC0200X · License 04-331614 KS
- Internal Medicine, Pulmonary Disease 207RP1001X · License 04-331614 KS
- Internal Medicine, Pulmonary Disease 207RP1001X · Primary · License 2011-01117 NC
In this directory
IL Winnebago County Rockford Internal Medicine, Pulmonary Disease
Locations and evidence
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Practice location
ROCKFORD, IL, 611042200
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.