Individual provider · Type 1 NPI

Robert Jackson, MD

Specialist · Evanston, IL

NPI number 1831295344 Active

Practice location

444 Barton Ave
Evanston, IL 60202-2760

Call (847) 685-0693 Map

Fax (847) 685-0775

Mailing address

PO Box 25432
Chicago, IL 60625-0432

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1831295344

Robert Jackson, MD's National Provider Identifier is 1831295344, issued on Sep 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Evanston, IL. The record was last updated on Jul 8, 2007.