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

Jarrod C Wall, MD

Individual provider Surgery Physician · NPI 1184695520

Jarrod C Wall, MD is a General Surgery in Springfield, Illinois. Qualified in 2002, 24 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group and accepts Medicare assignment. Licensed in Illinois and Minnesota.

Years since qualifying
24
Licensed in
IL, MN
In the registry since
2006
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

747 N Rutledge St Fl 2
Springfield, IL 62702-6700
Phone: (217) 545-8000
Fax: (217) 545-7795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 036-121923 (IL)
Surgery Physician Taxonomy 208600000X · Licence 46894 (MN)
Surgery Physician Taxonomy 208600000X · Licence 036.121923 (IL)

Record details

NPI number1184695520
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 1, 2006
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024
Mailing addressPo Box 19639, Springfield, IL 62794-9639

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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