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

Jared Evan Bukowski, DO

Individual provider Family Medicine Physician · NPI 1639929656

Jared Evan Bukowski, DO is a Family Medicine 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 Ballard Rd Fl 2
Park Ridge, IL 60068-1005
Phone: (847) 318-6020
Fax: (847) 318-2341
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125.084281 (IL)

Record details

NPI number1639929656
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address1775 W Dempster St Fl 2, Park Ridge, IL 60068-1143

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