Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARVIN WILLIAM JACKSON, MD, MS
ActiveDR. MARVIN WILLIAM JACKSON, MD, MS is a 2083A0100X healthcare provider located in DES PLAINES, Illinois. NPI 1760814040 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · DES PLAINES, IL
Registration Details
- NPI Number
- 1760814040
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2013 (12.827407226964 yrs)
- Last Updated
- Aug 8, 2013
- Licenses
-
036.122582 (IL)35.085150 (OH)
Practice Information
- Address
-
2300 E DEVON AVESUITE 427DES PLAINES, IL, 600184696Browse IL providers · Browse ZIP 60018
- Phone
- 8472947795
- Fax
- 8472947808
- Primary Specialty
-
2083A0100X
2083A0100X
- Additional Specialty
- 2083A0100X
Other 2083A0100X Providers in DES PLAINES, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MATHEW FRANCIS DUMSTORF | M.D., M.S. | 1700020302 |
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.