DR. ADAM JACKSON (NPI# 1023558376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023558376 |
Entity Type | Individual |
Full Name | DR. ADAM JACKSON |
Credential | BMSCD, MBSC, CNIM |
Practice Address |
55 W Chestnut St Chicago IL 60610-3347 |
Mailing Address |
55 W Chestnut St Apt 2208 Chicago IL 60610-3345 |
Practice Telephone | 6157329343 |
Enumeration Date | 2017-03-06 |
Last Update Date | 2020-04-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
2045 | TN | Allopathic & Osteopathic Physicians |
N | 204R00000X | Electrodiagnostic Medicine | 2045 | IL | Allopathic & Osteopathic Physicians |
Y | 173F00000X | Sleep Specialist, PhD | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033257662 | Adam S. Jackson | Acupuncturist | 5800 Soundview Dr Ste C101, Gig Harbor, WA 98335-2077 | 2007-02-04 |
1902423304 | Adam Jackson | Student in an Organized Health Care Education/Training Program | 3909 Woodley Rd, Toledo, OH 43606-1169 | 2020-07-01 |
1407483415 | Adam Joel Jackson | Student in an Organized Health Care Education/Training Program | Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234 | 2020-03-27 |
1942734884 | Adam Jackson | Counselor | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2017-04-18 |
1922465350 | Adam Jackson | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2016-01-14 |
1881801694 | Adam W Jackson | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2007-05-17 |
1306973375 | Adam B Jackson | General Practice | 2045 Franklin St, Department of Infectious Diseases, Denver, CO 80205-5437 | 2007-02-27 |
1144314501 | Adam Russell Jackson | Pharmacist | 17273 State Route 104, Chillicothe, OH 45601-0999 | 2006-10-02 |
Street Address |
55 W CHESTNUT ST |
City | CHICAGO |
State | IL |
Zip Code | 60610-3347 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245403120 | Jeffrey G Blank Dpm LLC | Podiatrist | 55 W Chestnut St, 1005, Chicago, IL 60610-3347 | 2008-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
Find all providers in zip 60610 |
Taxonomy Code | 173F00000X |
Grouping | Other Service Providers |
Classification | Sleep Specialist, PhD |
Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others. |
Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215306717 | Amy Stevenson | Sleep Specialist, PhD | 314 Oak Street, Chebanse, IL 60922 | 2015-09-15 |
1215569702 | Illinois Sleep Counseling Pllc | Sleep Specialist, PhD | 1770 1st St Ste 203, Highland Park, IL 60035-3229 | 2020-02-12 |
1548428071 | Rest Assured Sleep Centers, LLC | Sleep Specialist, PhD | 200 S Greenleaf St, J, Gurnee, IL 60031-3398 | 2008-05-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.