Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ann Jacob

Individual provider Psychiatry Physician · NPI 1619396207

Ann Jacob is a Psychiatry in Springfield, Illinois. Qualified in 2019, 7 years ago. Practices with Illinois Center for Neurological and Behavioral Medicine Ltd, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2014
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Practice location Address checks out

901 W Jefferson St
Springfield, IL 62702-4833
Phone: (312) 513-0307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 125069375 (IL)

Record details

NPI number1619396207
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2014
Last updated in NPPESSeptember 26, 2018
Mailing addressPo Box 19642, 901 West Jefferson, Springfield, IL 62794-9642

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Illinois Center For Neurological And Behavioral Medicine Ltd — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springfield