Albert L. Jackson Dds

NPI 1043489875 - Clinic/Center - 261QD0000X

NPI Details
NPI 1043489875
Enumeration Date 02/26/2008
Last Updated 02/26/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ALBERT L ALBERT
Position DENTIST /OWNER
Phone (312) 368-1600
Fax (312) 368-1542
Practice Location
30 N MICHIGAN AVE
SUITE 1803
CHICAGO IL, 60602-3402, US
Phone (312) 368-1600
Fax (312) 368-1542
Business Location
30 N MICHIGAN AVE
SUITE 1803
CHICAGO IL, 60602-3402, US
Phone (312) 368-1600
Fax (312) 368-1542
Toxanomy
Taxonomy Code 261QD0000X
License State Illinois
License Number 019011493
Remove 1043489875 NPI Number
 

According to our database, Albert L. Jackson Dds NPI is 1043489875, taxonomy code is 261QD0000X and license number is 019011493, license state is located at Illinois. Albert L. Jackson Dds physically located at 30 N Michigan Ave, Chicago IL, 60602-3402. NPI Number 1033115704 has the healthcare provider type.

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1043489875 NPI number is provided on an as is basis without warranty of any kind. 1043489875 is maintained by the National Plan & Provider Enumeration System. The contents of Albert L. Jackson Dds are for informational purposes only.