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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992407860

Jake Ryan Debosschere, DO is a Student in an Organized Health Care Education/Training Program in Berwyn, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
Specialties on file
2
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

3249 Oak Park Ave
Berwyn, IL 60402-0715
Phone: (708) 783-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125.082356 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992407860
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESJune 3, 2023
Certification dateJune 3, 2023
Mailing address3249 Oak Park Ave, Berwyn, IL 60402-3429

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