Douglas Jackson M.D.

NPI 1083612857 - Emergency Medicine - 207P00000X

NPI Details
NPI 1083612857
Gender Male
Enumeration Date 07/14/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
934 CENTER ST
ELGIN IL, 60120-2125, US
Phone (847) 429-8750
Fax (847) 429-8978
Business Location
150 QUAIL RIDGE DR
WESTMONT IL, 60559-6142, US
Phone (630) 321-8300
Fax (630) 321-8750
Toxanomy
Taxonomy Code 207P00000X
License State Illinois
License Number 036057410
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According to our database, Dr. Douglas Jackson M.D. NPI is 1083612857, taxonomy code is 207P00000X and license number is 036057410, license state is located at Illinois. Douglas Jackson M.D. physically located at 934 Center St, Elgin IL, 60120-2125. NPI Number Douglas Jackson M.D. has the Individual type.

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1083612857 NPI number is provided on an as is basis without warranty of any kind. 1083612857 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas Jackson M.D. are for informational purposes only.