Jackson, Marvin William

Jackson, Marvin William is an individual health care provider with primary practice located at 2300 E Devon Ave Suite 427, Des Plaines IL 60018-4696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Aerospace Medicine, which is considered as his primary health care specialty. Jackson, Marvin William can be contacted via phone (847) 294-7795.

Contact Information

Primary practice address
2300 E Devon Ave Suite 427 Des Plaines IL 60018-4696
Phone: (847) 294-7795
Fax: (847) 294-7808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 036.122582 Illinois
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 35.085150 Ohio

Profile Details

NPI number 1760814040
LBN Legal business name Jackson, Marvin William
Credentials MD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2013
Last updated Aug 8th, 2013 - about 11 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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