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

Mr. Kaleb L. Jacobs, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1124468129

Mr. Kaleb L. Jacobs, DO is an Obstetrics/Gynecology in Peoria, Illinois. Qualified in 2013, 13 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and New Mexico.

Years since qualifying
13
Licensed in
IL, NM
In the registry since
2013
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-3024
Fax: (309) 655-3739
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 N Knoxville Ave Ste A, Peoria, IL 61603-3005 — (309) 680-7600

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 036142613 (IL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence R-34-2015 (NM)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 125.063154 (IL)

Record details

NPI number1124468129
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 5, 2013
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024
Mailing address530 Ne Glen Oak Ave, Peoria, IL 61637-0001

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Peoria