Jackson Blough

Orthopaedic Surgery Physician · Springfield, IL

Individual Active NPI

NPI number 1760311542

Practice location

747 N Rutledge St Fl 3
Springfield, IL 62702-6700
Phone
(217) 545-8000

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NPI record

NPI
1760311542
Entity type
Individual (Type 1)
Enumeration date
May 18, 2026
Last updated
May 18, 2026
Certified
May 17, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Orthopaedic Surgery Physician Primary 207X00000X 125.087578 IL

Mailing address

PO Box 19638
Springfield, IL 62794-9638

About Jackson Blough

Jackson Blough is a healthcare provider registered in the NPI registry with the primary taxonomy Orthopaedic Surgery Physician (code 207X00000X). The practice location is 747 N Rutledge St Fl 3, Springfield, IL 62702-6700. The NPI number 1760311542 was assigned on May 18, 2026 and the record was last updated on May 18, 2026.

Jackson Blough lists a license in the registry: #125.087578 (IL) for Orthopaedic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jackson Blough?

The NPI number is 1760311542.

What is the phone number of Jackson Blough?

The phone number listed for the practice location is (217) 545-8000.

Where is Jackson Blough located?

747 N Rutledge St Fl 3, Springfield, IL 62702-6700.

What is the taxonomy code for Jackson Blough?

The primary taxonomy code is 207X00000X – Orthopaedic Surgery Physician.

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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