Jackson, Brandon Thomas

Jackson, Brandon Thomas is an individual health care provider with primary practice located at 251 E Huron St , Chicago IL 60611-3055. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Jackson, Brandon Thomas can be contacted via phone (312) 926-2000.

Contact Information

Primary practice address
251 E Huron St Chicago IL 60611-3055
Phone: (312) 926-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Illinois
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 1831658640 Illinois

Profile Details

NPI number 1831658640
LBN Legal business name Jackson, Brandon Thomas
Credentials MD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2019
Last updated Jun 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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