Jacob Manoj Kitchener, MD
Jacob Manoj Kitchener, MD is an Interventional Radiology in Springfield, Illinois. Graduated from Northeastern Ohio University College of Medicine in 2000, 26 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois, Missouri and Ohio.
- Years since qualifying
- 26
- Trained at
- Northeastern Ohio University College of Medicine
- Licensed in
- IL, MO, OH
- In the registry since
- 2005
- Specialties on file
- 5
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
421 N 9th StSpringfield, IL 62702
Phone: (217) 757-6868
Fax: (177) 576-8672
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (4)
- 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 — (618) 641-5803
- 301 N 8th St, Springfield, IL 62701-1041 — (217) 528-7541
- One Hospital Dr, Columbia, MO 65212-0001 — (573) 882-1515
- 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 — (937) 208-4200
Specialties & licences
| Vascular Neurology Physician (primary) | Taxonomy 2084V0102X · Licence 036111221 (IL) |
|---|---|
| Vascular Neurology Physician | Taxonomy 2084V0102X · Licence 35.086697 (OH) |
| Neurology Physician | Taxonomy 2084N0400X · Licence 2009027338 (MO) |
| Neurology Physician | Taxonomy 2084N0400X · Licence 036111221 (IL) |
| Clinical Neurophysiology Physician | Taxonomy 2084N0600X · Licence 35-08-6697-K (OH) |
Record details
| NPI number | 1003818733 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 12, 2005 |
| Last updated in NPPES | April 28, 2026 |
| Certification date | April 28, 2026 |
| Mailing address | 421 N 9th St, Springfield, IL 62702-5317 |
Medicare enrollment
| Medicare specialty | INTERVENTIONAL RADIOLOGY |
|---|---|
| Also practises | NEUROLOGY |
| Medical school | NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE |
| Graduated | 2000 (26 years in practice) |
| Group practice | Ssm Health Care Group — 923 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |