DR. MARVIN WILLIAM JACKSON (NPI# 1760814040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760814040 |
| Entity Type | Individual |
| Full Name | DR. MARVIN WILLIAM JACKSON |
| Credential | MD, MS |
| Practice Address |
2300 E Devon Ave Suite 427 Des Plaines IL 60018-4696 |
| Practice Telephone | 8472947795 |
| Practice Fax Number | 8472947808 |
| Mailing Telephone | 8472947795 |
| Mailing Fax Number | 8472947808 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
35.085150 | OH | Allopathic & Osteopathic Physicians |
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
036.122582 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891957015 | Marvin Zebedee Jackson Jr. | Chiropractor | 7435 Madison St, Forest Park, IL 60130-1542 | 2008-06-29 |
| 1265624332 | Marvin Blane Jackson | Dentist | 690 W Price River Dr, Price, UT 84501-2839 | 2007-08-13 |
| 1811338510 | Marvin L Jackson | Case Manager/Care Coordinator | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2013-07-10 |
| Street Address |
2300 E DEVON AVE SUITE 427 |
| City | DES PLAINES |
| State | IL |
| Zip Code | 60018-4696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700020302 | Mathew Francis Dumstorf | Preventive Medicine | 2300 E Devon Ave, Suite 439, Des Plaines, IL 60018-4696 | 2009-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902463961 | Home Care Angels II, LLC | Homemaker | 2720 S. River Rd., Suite 116, Des Plaines, IL 60018 | 2019-05-24 |
| 1982175691 | Johnny Contreras | Physician Assistant | 1972 Welwyn Ave, Des Plaines, IL 60018 | 2018-12-07 |
| 1336618248 | Better Quality Healthcare LLC | Case Manager/Care Coordinator | 2340 S. River Rd, Des Plaines, IL 60018 | 2018-11-20 |
| 1467942631 | Reanna Peterman | Dietitian, Registered | 1400 E Touhy Ave Ste 300a, Des Plaines, IL 60018 | 2018-05-14 |
| 1902308497 | Gonzalez Clinical Therapy LLC | Clinic/Center | 1400 E Touhy Avenue Suite 240, Des Plaines, IL 60018 | 2018-03-01 |
| 1730689506 | Richard Leon | Specialist/Technologist | 2004 Cedar St, Des Plaines, IL 60018 | 2018-02-17 |
| 1285151449 | Silverado Hospice of Illinois Inc. | Hospice Care, Community Based | 1350 E Touhy Ave Ste 130, Des Plaines, IL 60018 | 2017-08-28 |
| 1588189336 | Sainilkumar Patel | Physical Therapist | 1200 S Leslie Ln, Na, Des Plaines, IL 60018 | 2017-08-12 |
| 1033642251 | Amitaben Patel | Nurse Practitioner | 2250 E Devon Ave Ste 333, Des Plaines, IL 60018 | 2017-04-05 |
| 1487048831 | Tx Enterprises | Acupuncturist | 1784 E. Oakton, #106, Des Plaines, IL 60018 | 2015-03-24 |
| Find all providers in zip 60018 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700020302 | Mathew Francis Dumstorf | Preventive Medicine | 2300 E Devon Ave, Suite 439, Des Plaines, IL 60018-4696 | 2009-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245795293 | Anthony William Kitslaar | Preventive Medicine | 1250 Executive Pl Ste 403, Geneva, IL 60134-2482 | 2019-02-04 |
| 1407030596 | Ruth Martens | Preventive Medicine | 1913 Gladstone Dr, Wheaton, IL 60187-8123 | 2007-12-25 |
| 1619958170 | Nicholas G Lezama | Preventive Medicine | 901 Thornbury Pl, O Fallon, IL 62269-6811 | 2005-11-10 |
| 1013173137 | Frederick Allen Hauser Jr. | Preventive Medicine | Rock Island Arsenal Health Clinic (riahc), Bldg 110 (basement), Rock Island, IL 61299-7240 | 2008-07-29 |
| 1841345865 | Patrick David Lowry | Preventive Medicine | 203 W Losey St, Bldg 1700, Rm 1600, Scott Afb, IL 62225-5212 | 2007-01-23 |
| City | DES PLAINES |
| Zip Code | 60018 |
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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.