Jacksoneye Sc

LBN: Jacksoneye Sc
Jacksoneye Sc is an health care organization with primary practice located at 300 N Milwaukee Ave Suite L, Lake Villa IL 60046. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Jacksoneye Sc can be contacted via phone (847) 356-0700, or through Jackson, Mitchell Alin via phone (847) 356-0700.

Contact Information

Primary practice address
300 N Milwaukee Ave Suite L Lake Villa IL 60046
Phone: (847) 356-0700
Fax: (847) 356-0757
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Mitchell Alin Doctor of Medicine (MD)
Phone: (847) 356-0700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1073669834
LBN Legal business name Jacksoneye Sc
DBA Doing business as
Authorized official Jackson, Mitchell Alin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073669834 NPPES
Illinois Other 0004932263 BCBS

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