Search › Illinois › 363A00000X
Jacob Vondebur, PA-C
NPI 1235023045 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2303 Huntington Rd
Springfield, IL 62703 - Phone
- (217) 303-4991
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-25
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