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

Jacob Nathaniel Mattox, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922636893

Jacob Nathaniel Mattox, MD is an Emergency Medicine in Oak Lawn, Illinois. Graduated from University of Southern California Keck School of Medicine in 2020, 6 years ago. Practices with Clarksville Emergency Group PC, a 152-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
University of Southern California Keck School of Medicine
Licensed in
IL
In the registry since
2020
Specialties on file
3
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

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 125.075832 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125.075832 (IL)

Record details

NPI number1922636893
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020
Mailing address4440 W 95th St, Oak Lawn, IL 60453-2600

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Clarksville Emergency Group Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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