DR. ADAM JACKSON


Address: 55 W Chestnut St, Chicago, IL 60610-3347
Phone: 6157329343

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).

Provider Overview

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

Taxonomy

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

Other Providers ADAM JACKSON

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

Office Location

Street Address 55 W CHESTNUT ST
City CHICAGO
State IL
Zip Code 60610-3347

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245403120 Jeffrey G Blank Dpm LLC Podiatrist 55 W Chestnut St, 1005, Chicago, IL 60610-3347 2008-04-11

Providers in the same zip code

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 Information

Taxonomy Code 173F00000X
Grouping Other Service Providers
Classification Sleep Specialist, PhD

Taxonomy Definition

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

Providers in the same taxonomy and state

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

Competitor

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City CHICAGO
Zip Code 60610

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Dataset Information

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.

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