Douglas Jackson, M.D.

Emergency Medicine Physician · Elgin, IL

Individual Active NPI

NPI number 1083612857

Practice location

934 Center St
Elgin, IL 60120-2125
Phone
(847) 429-8750
Fax
(847) 429-8978

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NPI record

NPI
1083612857
Entity type
Individual (Type 1)
Enumeration date
July 14, 2005
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Emergency Medicine Physician Primary 207P00000X 036057410 IL

Mailing address

150 Quail Ridge Dr
Westmont, IL 60559-6142
Phone
(630) 321-8300
Fax
(630) 321-8750

About Dr. Jackson

Douglas Jackson, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Emergency Medicine Physician (code 207P00000X). The practice location is 934 Center St, Elgin, IL 60120-2125. The NPI number 1083612857 was assigned on July 14, 2005 and the record was last updated on July 8, 2007.

Dr. Jackson lists a license in the registry: #036057410 (IL) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Douglas Jackson, M.D.?

The NPI number is 1083612857.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (847) 429-8750.

Where is Dr. Jackson located?

934 Center St, Elgin, IL 60120-2125.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 207P00000X – Emergency Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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