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

Jay William Dieckhoff, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1962533695

Jay William Dieckhoff, MD is an Anatomic Pathology & Clinical Pathology Physician in Quincy, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
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

1005 Broadway St
Quincy, IL 62301-2834
Phone: (217) 223-8400
Fax: (217) 223-9945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 036-064968 (IL)

Record details

NPI number1962533695
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESNovember 27, 2023
Certification dateMarch 11, 2020
Mailing address824 Spring Lake Dr, Quincy, IL 62305-6152

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