Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MITCHELL ALIN JACKSON, MD
ActiveDR. MITCHELL ALIN JACKSON, MD is a Ophthalmology healthcare provider located in LAKE VILLA, Illinois. NPI 1902958929 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · LAKE VILLA, IL
Registration Details
- NPI Number
- 1902958929
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2007 (19.607322537104 yrs)
- Last Updated
- Jan 9, 2014
- License
-
036083377 (IL)
Practice Information
- Address
-
300 N MILWAUKEE AVESUITE L JACKSONEYE SCLAKE VILLA, IL, 60046Browse IL providers · Browse ZIP 60046
- Phone
- 8473560700
- Fax
- 8473560757
- Primary Specialty
-
Ophthalmology
207W00000X
Other Ophthalmology Providers in LAKE VILLA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ANNA MICHELLE EDMISTON | M.D. | 1386055762 |
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.