Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jake Ryan Debosschere, DO

Individual provider Family Medicine Physician · NPI 1992407860

Jake Ryan Debosschere, DO is a Family Medicine Physician in Lakemoor, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
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.

See every abbreviation used in this directory →

Practice location Address checks out

27655 W Il Route 120
Lakemoor, IL 60051-8003
Phone: (815) 458-1500
Fax: (815) 458-1516
Show map & directions

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

Additional practice locations (1)

  • 3249 Oak Park Ave, Berwyn, IL 60402-0715 — (708) 783-9100

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-180264 (IL)

Record details

NPI number1992407860
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESSeptember 14, 2026
Certification dateSeptember 14, 2026

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