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Contact Information

TAMARA JACKSON, MD
469 W HURON ST
APT 810
CHICAGO, IL60654-3467
 Phone: 615-423-9253
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuroradiology

2085N0700X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TAMARA JACKSON · (Female)

NPI Number 1184771073
Status Active
Credentials MD
Entity Individual
Enumeration date 01/04/2007
Last updated 12/04/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 336086917
  • WA License # MD61483697
Hospital affiliation(s)
  • ADVENTIST BOLINGBROOK HOSPITAL - (Acute Care)
    500 REMINGTON BOULEVARD
    BOLINGBROOK, IL 60440
  • ADVENTIST GLENOAKS - (Acute Care)
    701 WINTHROP AVENUE
    GLENDALE HEIGHTS, IL 60139
  • ADVENTIST LA GRANGE MEMORIAL HOSPITAL - (Acute Care)
    5101 S WILLOW SPRINGS RD
    LA GRANGE, IL 60525
  • HINSDALE HOSPITAL - (Acute Care)
    120 NORTH OAK ST
    HINSDALE, IL 60521
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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