DR. JEFFREY MARK JACOBS (NPI# 1174524136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174524136 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MARK JACOBS |
| Credential | M.D. |
| Practice Address |
201 S 14th St Herrin IL 62948-3631 |
| Mailing Address |
2501 Compass Rd Suite 130 Glenview IL 60026-8000 |
| Practice Telephone | 6189422171 |
| Practice Fax Number | 6189886166 |
| Mailing Telephone | (847) 677-1170 |
| Mailing Fax Number | 8476771233 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036092245 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2501 Compass Rd, Suite 130, Glenview, IL 600268000 | 8476771170 | 8476771233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619281029 | Jeffrey Jacobs | Behavioral Analyst | 364 Beechspring Rd, South Orange, NJ 07079-1512 | 2010-07-28 |
| 1417288085 | Jeffrey M Jacobs | Chiropractor | 191 Oliver St, Paterson, NJ 07501-1818 | 2010-01-21 |
| 1780893347 | Jeffrey John Jacobs | Dentist | 226 Michigan St, Brooklyn, MI 49230-9103 | 2007-05-21 |
| 1518085984 | Jeffrey A Jacobs | Preventive Medicine | 850 Germantown Pike, Plymouth Meeting, PA 19462-2400 | 2007-03-26 |
| 1184784183 | Jeffrey Jacobs | Dentist | 1402 Sw Military Dr, San Antonio, TX 78221-1556 | 2006-12-11 |
| 1740352046 | Jeffrey D. Jacobs | Chiropractor | 2940 Westwood Blvd Ste 5, Los Angeles, CA 90064-4120 | 2006-11-14 |
| 1477527208 | Jeffrey P Jacobs | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 601 Fifth Street South, 2nd Floor, St Petersburg, FL 33701-4804 | 2006-02-16 |
| 1972582708 | Jeffrey Michael Jacobs | Podiatrist | 223 E 89th St, B2, New York, NY 10128-3438 | 2006-01-11 |
| 1992143705 | Jeffrey D Jacobs | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2013-06-13 |
| 1942409727 | Jeffrey Rolnald Jacobs | Psychologist | 3231 Ocean Park Blvd, Suite 103, Santa Monica, CA 90405-3221 | 2007-07-12 |
| Street Address |
201 S 14TH ST |
| City | HERRIN |
| State | IL |
| Zip Code | 62948-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174131015 | Amabelle Estoque | Physical Therapist | 201 S 14th St, Herrin, IL 62948-3631 | 2020-07-16 |
| 1033727938 | Joseph H Painter | Physical Therapist | 201 S 14th St, Herrin, IL 62948-3631 | 2020-07-16 |
| 1134740608 | Ryan Williams | Specialist/Technologist, Other | 201 S 14th St, Herrin, IL 62948-3631 | 2020-05-06 |
| 1548800386 | Danielle Jo Fisher | Nurse Practitioner | 201 S 14th St, Herrin, IL 62948-3631 | 2020-01-09 |
| 1255977062 | Austin Thomas Butler | Specialist/Technologist | 201 S 14th St, Herrin, IL 62948-3631 | 2019-11-27 |
| 1972147213 | Brianna Nicole Krelo | Physical Medicine & Rehabilitation | 201 S 14th St, Herrin, IL 62948-3631 | 2019-10-30 |
| 1942854526 | Janelle Renee Kirby | Nurse Practitioner | 201 S 14th St, Herrin, IL 62948-3631 | 2019-07-31 |
| 1487116901 | Shantell Elizabeth Lodwick | Physical Therapy Assistant | 201 S 14th St, Herrin, IL 62948-3631 | 2019-04-03 |
| 1891257325 | Betsy Putbrese | Physical Therapist | 201 S 14th St, Herrin, IL 62948-3631 | 2019-04-03 |
| 1770059305 | Richard Cardall Mitchell | Physician Assistant | 201 S 14th St, Herrin, IL 62948-3631 | 2018-10-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
| 1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
| 1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
| 1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
| 1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
| 1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
| 1306094560 | Karl Keith Mitchener | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-08-29 |
| 1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
| 1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
| 1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
| Find all providers in zip 62948 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457366858 | Sushilkumar Mahabirprasad Tibrewala | Internal Medicine | 3301 Patriot Ct, Herrin, IL 62948-3782 | 2006-07-31 |
| 1558321190 | Mack E Mccain | Internal Medicine | 404 Lincoln Dr, Herrin, IL 62948 | 2006-03-27 |
| 1609914183 | Gastroenterology Care of Southern Illinois, LLC | Internal Medicine | 3301 Patriot Ct, Herrin, IL 62948-3782 | 2007-02-04 |
| 1881782654 | Jimmy J Morrison | Internal Medicine | 3314 Patriot Ct, Herrin, IL 62948-3782 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487388 | Endoscopy Center of The North Shore, LLC | Internal Medicine | 1100 Central Ave Ste H, Wilmette, IL 60091-2666 | 2018-11-29 |
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1861999559 | Kiba, Inc. | Internal Medicine | 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 | 2018-04-09 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1699186890 | Laura Hamad | Internal Medicine | 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 | 2014-05-11 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1841533254 | Danish Shahab | Internal Medicine | 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 | 2013-04-03 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.