Dr. Jon Jacoby, MD
Anesthesiology in Decatur, IL. Individual provider (NPI-1).
NPI number1609855261
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609855261
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jon Jacoby
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 036-085664 | IL | Yes |
Practice location
2300 N Edward StDecatur, IL 62526-4163
Phone 217-876-8121
Mailing address
Po Box 25137Decatur, IL 62525-5137
Phone 800-897-6169
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All 8 Anesthesiology Physician providers in Decatur · All 1,941 providers in Decatur
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