SearchIllinoisDiagnostic Radiology Physician

Addison Jacobs, MD

NPI 1679109482 · on the registry since 2020

Practice

Address
310 W Losey St
Scott Air Force Base, IL 62225
Phone
(618) 256-9355
Organisation at this address
St. Louis Jc Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Additional practice sites

  • 927 Broadway St, Quincy, IL
  • 100 Medical Dr, Hannibal, MO
  • 4800 Maine St, Quincy, IL
  • Walter Reed Military Medical Center, Bethesda, MD

Registry record

Primary taxonomy
Diagnostic Radiology Physician
2085R0202X
Also registered as
Diagnostic Radiology Physician
Diagnostic Radiology Physician
General Practice Physician
Licence states on file
MO, IL, NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-18

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