Ann Jacob

Neurology Physician · Springfield, IL

Individual Active NPI

NPI number 1619396207

Practice location

901 W Jefferson St
Springfield, IL 62702-4833
Phone
(312) 513-0307

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NPI record

NPI
1619396207
Entity type
Individual (Type 1)
Enumeration date
April 10, 2014
Last updated
September 18, 2026
Certified
September 18, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Neurology Physician Primary 2084N0400X 036149661 IL
Psychiatry Physician 2084P0800X 125069375 IL

Mailing address

PO Box 19642
901 West Jefferson
Springfield, IL 62794-9642

About Ann Jacob

Ann Jacob is a healthcare provider registered in the NPI registry with the primary taxonomy Neurology Physician (code 2084N0400X). The practice location is 901 W Jefferson St, Springfield, IL 62702-4833. The NPI number 1619396207 was assigned on April 10, 2014 and the record was last updated on September 18, 2026.

Ann Jacob lists 2 licenses in the registry: #036149661 (IL) for Neurology Physician; #125069375 (IL) for Psychiatry Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ann Jacob?

The NPI number is 1619396207.

What is the phone number of Ann Jacob?

The phone number listed for the practice location is (312) 513-0307.

Where is Ann Jacob located?

901 W Jefferson St, Springfield, IL 62702-4833.

What is the taxonomy code for Ann Jacob?

The primary taxonomy code is 2084N0400X – Neurology Physician; 1 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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