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Individual

JACOB E VOHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3000
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(800) 577-5368
(217) 757-2021

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036152160
IL
207L00000X
Anesthesiology Physician
62641
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036152160
IL MD LICENSE
IL
Enumeration date
04/09/2016
Last updated
06/30/2020
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