Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jake S Vacarella, MD

Individual provider Pediatrics Physician · NPI 1104986777

Dr. Jake S Vacarella, MD is a Pediatrics Physician in Lake Geneva, Wisconsin. Licensed in Illinois and Wisconsin. Registered with an NPI since 2006.

Licensed in
IL, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone: (262) 245-0535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 36724 (WI)
Pediatrics Physician Taxonomy 208000000X (IL)

Record details

NPI number1104986777
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressN2950 State Road 67, Lake Geneva, WI 53147-2655

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