Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATT JACKSON, AGAC NP- BC
Active Sole ProprietorMATT JACKSON, AGAC NP- BC is a Nurse Practitioner healthcare provider located in CHICAGO, Illinois. NPI 1619419793 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · CHICAGO, IL
Registration Details
- NPI Number
- 1619419793
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2016 (9.7268082328131 yrs)
- Last Updated
- Jan 28, 2026
- Licenses
-
209015073 (IL)209.015073 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
676 N SAINT CLAIR ST STE 650CHICAGO, IL, 606112929Browse IL providers · Browse ZIP 60611
- Phone
- 3126953800
- Fax
- 3126953644
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Acute Care Nurse Practitioner
Other Nurse Practitioner Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| TERESA J SAVINO | NP | 1073514972 |
| CELINE BOERS | NP | 1750382032 |
| DIANE JUDGE | NP | 1801888193 |
| MRS. JUDITH ANN SUTTON | NP | 1346235033 |
| ELLEN K SEDER | NP | 1851380257 |
| NOREEN P OCONNOR | NP | 1295724441 |
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.