Clint A Jackson (NPI# 1174569834, PAC ID# 2668523408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1174569834 |
| PAC ID by PECOS | 2668523408 |
| Professional Enrollment ID | I20090707000708 |
| Full Name | Clint A Jackson |
| Address |
1739 W Kirby Ave Champaign IL 61821-5500 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2004 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1739 W Kirby Ave, Champaign, IL 61821-5500 |
| Street Address |
1739 W KIRBY AVE |
| City | CHAMPAIGN |
| State | IL |
| Zip | 61821-5500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia L Sweet | Clinical Social Worker | The Center for Youth and Family Solutions Inc | 1315 Curt Dr A, Champaign, IL 61821-1168 |
| Kimberly Greenlee | Clinical Social Worker | 313 N Mattis Ave, Suite 209, Champaign, IL 61821-2461 | |
| Sarah L Olson | Clinical Social Worker | Champaign Counseling LLC | 313 N Mattis Ave, Suite 209, Champaign, IL 61821-2461 |
| Jolie Francoeur-carsten | Clinical Social Worker | Champaign Counseling LLC | 313 N Mattis Ave, Suite 209, Champaign, IL 61821-2461 |
| Norman D Andersen Jr. | Chiropractic | 606 N Country Fair Dr B, Champaign, IL 61821-2485 | |
| James M Kurley | Plastic and Reconstructive Surgery | 2111 W Park Ct, Champaign, IL 61821-2986 | |
| Sara J Meyer | Optometry | C U Eyecare LLC | 2008 Round Barn Rd, Champaign, IL 61821-3623 |
| Lisa K Heckman | Optometry | C U Eyecare LLC | 2008 Round Barn Rd, Champaign, IL 61821-3623 |
| Nancy S Davidson | Physical Therapy | Christie Clinic, LLC | 1207 S Mattis Ave, Champaign, IL 61821-4861 |
| Candace D Mcgregor | Obstetrics/gynecology | Christie Clinic, LLC | 1207 S Mattis Ave, Champaign, IL 61821-4861 |
| Find all physicians in zip 61821 | |||
| City | CHAMPAIGN |
| Zip Code | 61821 |
| Specialty | CHIROPRACTIC |
| City + Specialty | CHAMPAIGN + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.