Robert Jackson, MD

Specialist · Evanston, IL

Individual Active NPI

NPI number 1831295344

Practice location

444 Barton Ave
Evanston, IL 60202-2760
Phone
(847) 685-0693
Fax
(847) 685-0775

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NPI record

NPI
1831295344
Entity type
Individual (Type 1)
Enumeration date
September 15, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X — IL

Mailing address

PO Box 25432
Chicago, IL 60625-0432
Phone
(847) 685-0693
Fax
(847) 685-0775

About Dr. Jackson

Robert Jackson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 444 Barton Ave, Evanston, IL 60202-2760. The NPI number 1831295344 was assigned on September 15, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Robert Jackson, MD?

The NPI number is 1831295344.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (847) 685-0693.

Where is Dr. Jackson located?

444 Barton Ave, Evanston, IL 60202-2760.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 174400000X – Specialist.

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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