Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EVAN LEIGH JACKSON, DO
Active Sole ProprietorDR. EVAN LEIGH JACKSON, DO is a Emergency Medicine healthcare provider located in CHICAGO, Illinois. NPI 1013412634 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · CHICAGO, IL
Registration Details
- NPI Number
- 1013412634
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2018 (8.4108912526629 yrs)
- Last Updated
- Apr 30, 2025
- Licenses
-
02006363A (IN)125.073354 (IL)036155621 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1740 W TAYLOR STCHICAGO, IL, 606127232Browse IL providers · Browse ZIP 60612
- Phone
- 8666002273
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. SUSAN M NEDZA | M.D. | 1275536419 |
| EDDIE J. MARKUL | M.D. | 1972503886 |
| NICOLE M. COLUCCI | D.O. | 1295735017 |
| ROBERT P. RIFENBURG | D.O. | 1013917574 |
| DR. HARLAN E BOGIE | M.D. | 1174523658 |
| DR. STEPHEN D BOREN | M.D. | 1184624546 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.