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

Jake Kawasaki

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013710516

Jake Kawasaki is a Student in an Organized Health Care Education/Training Program in Wheaton, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

26W171 Roosevelt Rd
Wheaton, IL 60187-6002
Phone: (630) 909-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 125.085959 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013710516
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESJuly 5, 2026
Certification dateJuly 5, 2026
Mailing address26w171 Roosevelt Rd, Wheaton, IL 60187-6002

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