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

Jack J Hall, MD

Individual provider Cardiovascular Disease Physician · NPI 1558337857

Jack J Hall, MD is an Interventional Cardiology in Springfield, Illinois. Graduated from Indiana University School of Medicine in 1989, 37 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Indiana, Montana and Wisconsin.

Years since qualifying
37
Trained at
Indiana University School of Medicine
Licensed in
IL, IN, MT, WI
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

619 E Mason St Ste 4P57
Springfield, IL 62701
Phone: (217) 788-0706
Fax: (217) 525-2535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 Ministry Pkwy, Weston, WI 54476-5220 — (715) 393-1000

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 036136720 (IL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 01038562A (IN)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 01038562A (IN)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 129026 (MT)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 13144 (WI)

Record details

NPI number1558337857
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025
Mailing address619 E Mason St Ste 4p57, Springfield, IL 62701-1034

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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