DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALAN JACKSON MD

MEDICARE: ALAN JACKSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician036081595IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144398520
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN JACKSON MD
Provider Business Mailing Address
First Line : 2734 W 87TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60652-3937
Country : US
Telephone Number : 773-918-4700
Fax Number : 773-313-3763
Provider Business Practice Location Address
First Line : 2734 W 87TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60652-3937
Country : US
Telephone Number : 773-918-4700
Fax Number : 773-313-3763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 07/02/2024

Similar Medicare Providers

1306877329 — MS. PAMELA DENISE GOODWIN-COLE MD
Practice Location Address:
2734 W 87TH ST
CHICAGO, IL
60652-3937
Practice Phone: 773-918-4700
Practice Fax:
1790893881 — FARAH FAKOURI
Practice Location Address:
2734 W 87TH ST
CHICAGO, IL
60652-3937
Practice Phone: 773-918-4700
Practice Fax: 773-313-3763
1457537011 — JOSHUA MICHAEL EVERHART DO
Practice Location Address:
2734 W 87TH ST
CHICAGO, IL
60652-3937
Practice Phone: 773-918-4700
Practice Fax: 773-313-3763
1891938619 — FAHMIDA KHATOON PA
Practice Location Address:
2734 W 87TH ST
CHICAGO, IL
60652-3937
Practice Phone: 773-918-4700
Practice Fax:
1083913255 — BHAVNA BALANEY MD
Practice Location Address:
2734 W 87TH ST
CHICAGO, IL
60652-3937
Practice Phone: 773-918-4700
Practice Fax: 872-213-5685
1639417496 — JENCARE NEIGHBORHOOD MEDICAL CENTER EVERGREEN PARK, LLC
Practice Location Address:
2734 W 87TH ST
CHICAGO, IL
60652-3937
Practice Phone: 305-628-6117
Practice Fax:

Directions to “ ALAN JACKSON MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.