Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JON R JACOBSON, D.O.
Active Sole ProprietorDR. JON R JACOBSON, D.O. is a Occupational Medicine healthcare provider located in O FALLON, Illinois. NPI 1780753822 is currently active in the NPPES registry. Verify at CMS.
Occupational Medicine · O FALLON, IL
Registration Details
- NPI Number
- 1780753822
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2006 (19.788038218012 yrs)
- Last Updated
- Dec 30, 2021
- License
-
036149530 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1512 N GREEN MOUNT RDO FALLON, IL, 622692083Browse IL providers · Browse ZIP 62269
- Phone
- 6186288440
- Primary Specialty
-
Occupational Medicine
2083X0100X
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.