Dr. Jeffrey Mark Jacobs, M.D.
Internal Medicine, Gastroenterology in Herrin, IL. Individual provider (NPI-1).
NPI number1174524136
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1174524136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Mark Jacobs
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2005
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GASTROENTEROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 036092245 | IL | Yes |
Practice location
201 S 14th StHerrin, IL 62948-3631
Phone 618-942-2171 · Fax 618-988-6166
Mailing address
2501 Compass RdSuite 130
Glenview, IL 60026-8000
Phone 847-677-1170 · Fax 847-677-1233
Other practice locations
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All 6 Gastroenterology Physician providers in Herrin · All 524 providers in Herrin
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