TAMARA JACKSON (NPI# 1184771073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184771073 |
Entity Type | Individual |
Full Name | TAMARA JACKSON |
Credential | MD |
Practice Address |
469 W Huron St Apt 810 Chicago IL 60654-3467 |
Practice Telephone | 6154239253 |
Mailing Telephone | 6154239253 |
Enumeration Date | 2007-01-04 |
Last Update Date | 2011-05-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
336086917 | IL | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104314343 | Tamara Jackson | Psychologist | 1725 I Street Nw, Suite 300, Washington, DC 20006 | 2018-04-24 |
1861824807 | Tamara Desiree Jackson | Case Manager/Care Coordinator | 678 Sagamore St Apt 7h, Bronx, NY 10462-2874 | 2013-08-01 |
1043542236 | Tamara Jean Jackson | Community Health Worker | 350 Henry Ave, Wewahitchka, FL 32465-8766 | 2010-02-12 |
1366503716 | Tamara Joyce Jackson | Pediatrics | 1328 W St Se, Anacostia Clinic, Washington, DC 20020-5718 | 2006-12-12 |
1164061073 | Tamara T Jackson | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2019-12-26 |
1659898351 | Tamara Renee Jackson | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2017-08-24 |
1124471123 | Tamara Jackson | Social Worker | 3604 Canal St, New Orleans, LA 70119-6111 | 2016-07-14 |
1932557832 | Tamara Jackson | Social Worker | 16 Coventry St, Hartford, CT 06112-1524 | 2016-06-01 |
1851764526 | Tamara Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-11-03 |
1366882714 | Tamara M Jackson | Speech-Language Pathologist | 53 Ash Dr, Hollywood, FL 33026-1102 | 2013-06-30 |
Street Address |
469 W HURON ST APT 810 |
City | CHICAGO |
State | IL |
Zip Code | 60654-3467 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457691743 | Amanda Lederer | Speech-Language Pathologist | 469 W Huron St, 1010, Chicago, IL 60654-3467 | 2013-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
Find all providers in zip 60654 |
Taxonomy Code | 2085N0700X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Neuroradiology |
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235736463 | Melih Akyuz | Radiology | 1653 W Congress Pkwy Ste 181, Chicago, IL 60612-3833 | 2020-10-01 |
1891225256 | Anoop Chacko Achanaril | Radiology | 1653 W. Congress Parkway, Jelke 181, Chicago, IL 60612 | 2017-06-18 |
1528224045 | Corey Steven Bregman | Radiology | 2300 Childrens's Plaza, No. 9, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2008-08-04 |
1780861807 | Qasim Bashir | Radiology | 912 S. Wood St. M/c 799, Chicago, IL 60612 | 2008-01-31 |
1285740043 | Benjamin P Liu | Radiology | 676 N Saint Clair St Fl 14, Dept Neuroradiology, Chicago, IL 60611-2951 | 2006-08-22 |
1790726495 | Hamid Mohazab | Radiology | 1122 N Dearborn St, Chicago, IL 60610-5057 | 2006-06-10 |
1457349979 | Prashant K Chawla | Radiology | 30 W Erie St, #701, Chicago, IL 60654-2827 | 2005-10-10 |
1346242088 | Eugene W Brown | Radiology | 773 W Melrose St, Chicago, IL 60657-3417 | 2005-08-12 |
1265432322 | Eugene C Anandappa | Radiology | 225 E Chicago Ave # 9, Chicago, IL 60611-2991 | 2005-07-29 |
1578563649 | Delilah M Burrowes | Radiology | 2300 Children's Plaza, No. 9, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2005-07-29 |
Find all providers in CHICAGO |
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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.