Mitchell Alin Jackson in Lake Villa - Ophthalmology
Mitchell Alin Jackson - NPI 1902958929
Mitchell Alin Jackson is a Ophthalmology in Lake Villa, Illinois. Mitchell Alin Jackson practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Mitchell Alin Jackson is 1902958929. The last update date is 2014-01-09.
Mitchell Alin Jackson's current location address is 300 N Milwaukee Ave, Lake Villa, Illinois. You can contact this provider via phone number 8473560700 and fax number 8473560757. The mailing address for Mitchell Alin Jackson is 300 N Milwaukee Ave, Lake Villa, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Alin Jackson |
|---|---|
| Address | 300 N Milwaukee Ave, Lake Villa, Illinois |
| Phone Number | 8473560700 |
| Fax Number | 8473560757 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902958929 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2014-01-09 |
Provider Mailing Address Detail
| Address | 300 N Milwaukee Ave |
|---|---|
| City | Lake Villa |
| State | Illinois (IL) |
| Post Code | 60046 |
| Phone Number | 8473560700 |
| Fax Number | 8473560757 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 36083377 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4932263 | IL | BCBS # | |
| 208201 | IL | MEDICARE ID | |
| 36083377 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mitchell Alin Jackson by the Centers for Medicare & Medicaid Services?
The Mitchell Alin Jackson has been assigned the NPI (National Provider Identifier) 1902958929 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Mitchell Alin Jackson's facilities are geographically located?
The facilities of Mitchell Alin Jackson are physically situated at the following location: 300 N Milwaukee Ave, Lake Villa, IL, 60046.
What is the Mitchell Alin Jackson's area of specialization and corresponding taxonomy classification?
The Mitchell Alin Jackson's specialty field is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1902958929 to Mitchell Alin Jackson?
The Centers for Medicare & Medicaid Services assigned the 1902958929 to Mitchell Alin Jackson on 2007-01-18.
As of what date was the information regarding Mitchell Alin Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mitchell Alin Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-01-09.