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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB MATTHEW VONDEBUR, PA-C

Active Sole Proprietor

JACOB MATTHEW VONDEBUR, PA-C is a Physician Assistant healthcare provider located in SPRINGFIELD, Illinois. NPI 1235023045 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SPRINGFIELD, IL

Registration Details

NPI Number
1235023045
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2025 (1.1806068401264 yrs)
Last Updated
Jul 25, 2025
License
085011450 (IL)
Sole Proprietor
Yes

Practice Information

Address
2303 HUNTINGTON RD
SPRINGFIELD, IL, 627035009
Browse IL providers · Browse ZIP 62703
Phone
2173034991
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SPRINGFIELD, IL

Name Credential NPI
CHRISTOPHER A SPRINKEL PA-C 1346244241
BRAD C ALBERTINI PA-C 1588643902
RICHARD HUTCHISON PA-C 1871553784
MRS. THERESA M DURBIN PA-C 1639120967
JULIE C HART PA-C 1003867342
ZACHARY SIMS P.A.-C 1033134424
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.