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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