Individual provider · Type 1 NPI

Mark D. Jackson, MD

Cardiovascular Disease Physician · Peoria, IL

NPI number 1952331019 Active

Practice location

5405 N Knoxville Ave
Peoria, IL 61614

Call (309) 691-4410 Map

Fax (309) 589-2830

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X036082717 (IL)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1952331019

Mark D. Jackson, MD's National Provider Identifier is 1952331019, issued on Jul 4, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Peoria, IL. The record was last updated on Aug 31, 2010.