Denise L Jackson in Chicago Hts - Family Medicine
Denise L Jackson - NPI 1871545772
Denise L Jackson is a Family Medicine in Chicago Hts, Illinois. Denise L Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Denise L Jackson is 1871545772. The last update date is 2012-10-17.
Denise L Jackson's current location address is 333 Dixie Hwy, Chicago Hts, Illinois. You can contact this provider via phone number 7087560100 and fax number 7087096353. The mailing address for Denise L Jackson is 333 Dixie Hwy, Chicago Hts, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Denise L Jackson |
|---|---|
| Address | 333 Dixie Hwy, Chicago Hts, Illinois |
| Phone Number | 7087560100 |
| Fax Number | 7087096353 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871545772 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2012-10-17 |
Provider Mailing Address Detail
| Address | 333 Dixie Hwy |
|---|---|
| City | Chicago Hts |
| State | Illinois (IL) |
| Post Code | 604111748 |
| Phone Number | 7087560100 |
| Fax Number | 7087096353 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36094604 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00450388/C K68 | IL | RAILROAD MEDICARE | |
| 4673170001 | IL | DMERC GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Denise L Jackson by the Centers for Medicare & Medicaid Services?
The Denise L Jackson has been assigned the NPI (National Provider Identifier) 1871545772. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Denise L Jackson is located?
The Denise L Jackson is situated at the following address: 333 Dixie Hwy, Chicago Hts, IL, 604111748.
What is Denise L Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Denise L Jackson's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
When was the Denise L Jackson's 1871545772 issued?
The Denise L Jackson's 1871545772 was issued on 2006-05-17.
When was the information pertaining to Denise L Jackson most recently updated or revised?
The details related to Denise L Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-17.