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

Jacob Larsen White, DO

Individual provider Surgery Physician · NPI 1023877743

Jacob Larsen White, DO is a Surgery Physician in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1775 Dempster Street Mailbox #48
Park Ridge, IL 60068
Phone: (847) 723-2210
Fax: (847) 723-6987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125.086986 (IL)

Record details

NPI number1023877743
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 15, 2024
Last updated in NPPESJune 25, 2025
Certification dateJune 16, 2025
Mailing address1775 Dempster Street, Mailbox #48, Park Ridge, IL 60068

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