Jackson, Tiphany

Jackson, Tiphany is an individual health care provider with primary practice located at 680 N Lake Shore Dr Ste 810 , Chicago IL 60611-8700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Jackson, Tiphany can be contacted via phone (312) 926-8811.

Contact Information

Primary practice address
680 N Lake Shore Dr Ste 810 Chicago IL 60611-8700
Phone: (312) 926-8811
Fax: (312) 926-8855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 036.152149 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036.152149 Illinois

Profile Details

NPI number 1881049666
LBN Legal business name Jackson, Tiphany
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2016
Last updated Jan 31st, 2023 - about last year

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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