Jackson, Tamara

Jackson, Tamara is an individual health care provider with primary practice located at 469 W Huron St Apt 810, Chicago IL 60654-3467. She 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 / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Jackson, Tamara can be contacted via phone (615) 423-9253.

Contact Information

Primary practice address
469 W Huron St Apt 810 Chicago IL 60654-3467
Phone: (615) 423-9253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 336086917 Illinois

Profile Details

NPI number 1184771073
LBN Legal business name Jackson, Tamara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated May 16th, 2011 - about 13 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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