Norman, Jackson Thomas

Norman, Jackson Thomas is an individual health care provider with primary practice located at 2300 Children'S Plaza Children'S Memorial Hospital, Chicago IL 60614-3363. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Norman, Jackson Thomas can be contacted via phone (773) 880-6792.

Contact Information

Primary practice address
2300 Children'S Plaza Children'S Memorial Hospital Chicago IL 60614-3363
Phone: (773) 880-6792
Fax: (773) 880-3517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-095998 Illinois
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 036-095998 Illinois

Profile Details

NPI number 1386638310
LBN Legal business name Norman, Jackson Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Sep 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386638310 NPPES
Illinois MEDICAID 036095998

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