Search › Illinois › 2084V0102X
Jacob Kitchener, MD
NPI 1003818733 · on the registry since 2005
Practice
- Address
- 421 N 9th St
Springfield, IL 62702 - Phone
- (217) 757-6868
- Fax
- (177) 576-8672
- Clinicians at this address
- 14
Additional practice sites
- 301 N 8th St, Springfield, IL
- 3 Saint Elizabeth Blvd, O Fallon, IL
- One Hospital Dr, Columbia, MO
- 30 E Apple St Ste 5254a, Dayton, OH
Registry record
- Primary taxonomy
- 2084V0102X
2084V0102X
- Also registered as
- 2084V0102X
2084N0400X
2084N0400X
2084N0600X - Licence states on file
- IL, OH, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois