Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY PAUL JACKSON, MD
ActiveGREGORY PAUL JACKSON, MD is a Specialist healthcare provider located in LIBERTYVILLE, Illinois. NPI 1649257163 is currently active in the NPPES registry. Verify at CMS.
Specialist · LIBERTYVILLE, IL
Registration Details
- NPI Number
- 1649257163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2005 (20.487103512024 yrs)
- Last Updated
- Jul 9, 2007
- Licenses
-
35393 (WI)01059554A (IN)
Practice Information
- Address
-
1800 HOLLISTER DRSUITE G-18LIBERTYVILLE, IL, 600485263Browse IL providers · Browse ZIP 60048
- Phone
- 8479685300
- Fax
- 8479684311
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
- Additional Specialty
- Specialist
Other Specialist Providers in LIBERTYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT M SEPTON | M.D. | 1447242508 |
| DR. NEIL DAVID POLLOCK | M.D. | 1982696787 |
| DR. RICHARD M ALLEN | M.D. | 1609948124 |
| CARL M SILBERMAN | MD | 1407906696 |
| JENNIFER LAUREN BURKHART | — | 1508018136 |
| MRS. RITA RAE GRAHAM | NCTMB | 1003149766 |
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.