Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NIRMAL TOM JACOB, MBBS
ActiveDR. NIRMAL TOM JACOB, MBBS is a 2084E0001X healthcare provider located in PEORIA, Illinois. NPI 1902435092 is currently active in the NPPES registry. Verify at CMS.
2084E0001X · PEORIA, IL
Registration Details
- NPI Number
- 1902435092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2020 (6.3444992162639 yrs)
- Last Updated
- Sep 30, 2025
- Licenses
-
036177259 (IL)4301512386 (MI)
Practice Information
- Address
-
530 NE GLEN OAK AVEPEORIA, IL, 616372531Browse IL providers · Browse ZIP 61637
- Phone
- 3096552000
- Primary Specialty
-
2084E0001X
2084E0001X
- Additional Specialty
- 2084E0001X
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.