JACOB MATTHEW VONDEBUR

SPRINGFIELD, IL
NPI1235023045
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085011450)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-06-05
Last Update Date2025-07-25
Business Address
JACOB MATTHEW VONDEBUR PA-C
2303 HUNTINGTON RD
SPRINGFIELD, IL 62703-5009
Phone number: 217-303-4991
Mailing Address
JACOB MATTHEW VONDEBUR PA-C
2303 HUNTINGTON RD
SPRINGFIELD, IL 62703-5009
Phone number: 217-303-4991