Individual
JACOB MATTHEW VONDEBUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2303 HUNTINGTON RD, SPRINGFIELD, IL 62703-5009
(217) 303-4991
Mailing address
2303 HUNTINGTON RD, SPRINGFIELD, IL 62703-5009
(217) 303-4991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011450
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/05/2025
Last updated
07/25/2025
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