Individual
DR. JACOB ROYLE HOPPING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 MAIN ST STE 300, PEORIA, IL 61606
(309) 495-0200
(309) 676-6545
Mailing address
1001 MAIN ST STE 300, PEORIA, IL 61606-2036
(309) 495-0200
(309) 676-6545
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.137609
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36137609
—
IL
Enumeration date
07/12/2010
Last updated
06/27/2019
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