Jacob Manoj Kitchener, MD

Vascular Neurology Physician · Springfield, IL

Individual Active NPI

NPI number 1003818733

Practice location

421 N 9TH St
Springfield, IL 62702
Phone
(217) 757-6868
Fax
(177) 576-8672

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NPI record

NPI
1003818733
Entity type
Individual (Type 1)
Enumeration date
August 12, 2005
Last updated
April 28, 2026
Certified
April 28, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Vascular Neurology Physician Primary 2084V0102X 036111221 IL
Vascular Neurology Physician 2084V0102X 35.086697 OH
Neurology Physician 2084N0400X 2009027338 MO
Neurology Physician 2084N0400X 036111221 IL
Clinical Neurophysiology Physician 2084N0600X 35-08-6697-K OH

Mailing address

421 N 9TH St
Springfield, IL 62702-5317
Phone
(217) 757-6868
Fax
(177) 576-8672

Other practice locations (4)

  • 301 N 8th St, Springfield, IL 62701-1041 · (217) 528-7541
  • 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 · (618) 641-5803
  • One Hospital Dr, Columbia, MO 65212-0001 · (573) 882-1515
  • 30 E Apple St Ste 5254A, Dayton, OH 45409-2939 · (937) 208-4200

About Dr. Kitchener

Jacob Manoj Kitchener, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Vascular Neurology Physician (code 2084V0102X). The practice location is 421 N 9TH St, Springfield, IL 62702. The NPI number 1003818733 was assigned on August 12, 2005 and the record was last updated on April 28, 2026.

Dr. Kitchener lists 5 licenses in the registry: #036111221 (IL) for Vascular Neurology Physician; #35.086697 (OH) for Vascular Neurology Physician; #2009027338 (MO) for Neurology Physician; #036111221 (IL) for Neurology Physician; #35-08-6697-K (OH) for Clinical Neurophysiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Manoj Kitchener, MD?

The NPI number is 1003818733.

What is the phone number of Dr. Kitchener?

The phone number listed for the practice location is (217) 757-6868.

Where is Dr. Kitchener located?

421 N 9TH St, Springfield, IL 62702.

What is the taxonomy code for Dr. Kitchener?

The primary taxonomy code is 2084V0102X – Vascular Neurology Physician; 4 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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