Individual
DR. JACOB H SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 ILLINI DR, SILVIS, IL 61282-1804
(309) 281-4000
Mailing address
801 ILLINI DR, SILVIS, IL 61282-1804
(309) 281-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125057934
IL
207L00000X
Anesthesiology Physician
MD-41636
IA
Other
Enumeration date
06/25/2010
Last updated
03/14/2024
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