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Tamara Jackson, MD
Neuroradiology Physician in Chicago, Illinois
NPI 1184771073

Tamara Jackson is a Neuroradiology Physician based in Chicago, IL and is specialized in Neuroradiology. Tamara Jackson practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Tamara Jackson is 1184771073 and holds a License No. (Illinois).

The current practice location address for Tamara Jackson is 469 W Huron St, Chicago, IL and can be reached out via phone at 615-423-9253.

Location: 469 W Huron St, Chicago, IL, 60654-3467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184771073
Provider Name
Tamara Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
469 W Huron St, Chicago, IL, 60654-3467
Phone Number
615-423-9253
Fax Number
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
469 W Huron St
City
Chicago
State
Illinois
Zip
60654-3467
Phone Number
615-423-9253
Fax Number
person
Provider Business Mailing Address Details
Address
469 W Huron St
City
Chicago
State
Illinois
Zip
60654-3467
Phone Number
615-423-9253
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
336086917 (Illinois)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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