Organization · Type 2 NPI

Albert L. Jackson DDS

Dental Clinic/Center · Chicago, IL

NPI number 1043489875 Active

Practice location

30 N Michigan Ave, Suite 1803
Chicago, IL 60602-3402

Fax (312) 368-1542

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X019011493 (IL)

Dental Clinic/Center: Definition to come...

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About NPI 1043489875

Albert L. Jackson DDS's National Provider Identifier is 1043489875, issued on Feb 26, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Feb 26, 2008.