Individual provider · Type 1 NPI

Evan Leigh Jackson, DO

Emergency Medicine Physician · Chicago, IL

NPI number 1013412634 Active

Practice location

1740 W Taylor St
Chicago, IL 60612-7232

Mailing address

808 South Wood Street, 469 Cme, M/c 724
Chicago, IL 60612

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X02006363A (IN)
Emergency Medicine Physician 207P00000X125.073354 (IL)
Emergency Medicine Physician Primary 207P00000X036155621 (IL)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1013412634

Evan Leigh Jackson, DO's National Provider Identifier is 1013412634, issued on Mar 26, 2018. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Chicago, IL. The record was last updated on Apr 30, 2025.