Individual provider · Type 1 NPI

Addison F. Jacobs, MD

Diagnostic Radiology Physician · Scott Air Force Base, IL

NPI number 1679109482 Active

Practice location

310 W Losey St
Scott Air Force Base, IL 62225-5250

Call (618) 256-9355 Map

Other practice locations

  • 100 Medical Dr, Hannibal, MO 63401-6877 · (217) 223-8400
  • 927 Broadway St, Quincy, IL 62301-2719 · (217) 223-8400
  • 4800 Maine St, Quincy, IL 62305-5875 · (217) 223-8400
  • Walter Reed Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 · (301) 295-4000

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X2026006949 (MO)
Diagnostic Radiology Physician 2085R0202X036178029 (IL)
General Practice Physician 208D00000X33917 (NE)
Diagnostic Radiology Physician Primary 2085R0202X33917 (NE)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

148 other providers at this address

About NPI 1679109482

Addison F. Jacobs, MD's National Provider Identifier is 1679109482, issued on Mar 13, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Scott Air Force Base, IL. The record was last updated on Mar 18, 2026.