Jackson, Gregory Paul

Jackson, Gregory Paul is an individual health care provider with primary practice located at 1800 Hollister Dr Suite G-18, Libertyville IL 60048-5263. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jackson, Gregory Paul can be contacted via phone (847) 968-5300.

Contact Information

Primary practice address
1800 Hollister Dr Suite G-18 Libertyville IL 60048-5263
Phone: (847) 968-5300
Fax: (847) 968-4311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35393 Wisconsin
Other Service Providers / Specialist 174400000X 01059554A Indiana
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1649257163
LBN Legal business name Jackson, Gregory Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 9th, 2007 - about 18 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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