Individual
DR. NIRMAL TOM JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-2531
(309) 655-2000
Mailing address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
036177259
IL
2084E0001X
Epilepsy Physician
4301512386
MI
Other
Enumeration date
04/02/2020
Last updated
09/30/2025
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