DR. JOHN L JACKSON (NPI# 1316169279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316169279 |
| Entity Type | Individual |
| Full Name | DR. JOHN L JACKSON |
| Credential | PH.D. |
| Practice Address |
5215 Old Orchard Rd Ste 600 Skokie IL 60077-1035 |
| Mailing Address |
Po Box 6043 Elgin IL 60121-6043 |
| Practice Telephone | 2249359807 |
| Practice Fax Number | 8886564903 |
| Mailing Telephone | 8472143676 |
| Mailing Fax Number | 8478883659 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071003528 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1063073310 | John Jackson | Speech-Language Pathologist | 2143 Mohawk Trl, Maitland, FL 32751-3950 | 2019-06-27 |
| 1992202832 | John Jackson | Physical Therapy Assistant | 209 Lake St, Chittenango, NY 13037-1518 | 2018-04-08 |
| 1063911105 | John Martin Jackson | Physical Therapy Assistant | 11118 Lantern Way, North Chesterfield, VA 23236-3575 | 2018-02-05 |
| 1184164493 | John Jackson | Emergency Medical Technician, Paramedic | 137 S Newport Ave, Newport, WA 99156-1942 | 2017-03-06 |
| 1508236837 | John Willard Jackson | Anesthesiology | 7857 Caruth Ct, Dallas, TX 75225-8133 | 2015-09-29 |
| 1043572035 | John Ferndale Jackson | Behavioral Analyst | 931 Azure Heights Place, Las Vegas, NV 89110 | 2012-06-14 |
| 1679830558 | John Michael Jackson | Pharmacist | 1000 Castlebay, Cincinnati, OH 45245-4910 | 2012-04-18 |
| 1013043553 | John Phillip Jackson | Occupational Therapist | 7810 Avenue U Apt B, Lubbock, TX 79423-2430 | 2007-02-26 |
| 1275673451 | John W Jackson | Pharmacist | 1667 Bellemeade Dr, Altoona, PA 16602-7402 | 2007-02-07 |
| Street Address |
5215 OLD ORCHARD RD STE 600 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306959770 | Unified Physicians Network Inc | Health Maintenance Organization | 5215 Old Orchard Rd, Suite 340, Skokie, IL 60077-1035 | 2006-08-17 |
| 1184004020 | Rajan Sharma Dds Msd PC | Dentist | 5215 Old Orchard Rd, Suite 200, Skokie, IL 60077-1035 | 2015-06-05 |
| 1548640485 | The Dental Specialists | Dentist | 5215 Old Orchard Rd, Suite 200, Skokie, IL 60077-1035 | 2015-06-05 |
| 1386044402 | Cybervyne LLC | Home Health | 5215 Old Orchard Rd, Suit 950, Skokie, IL 60077-1035 | 2014-08-26 |
| 1700227279 | Unified Physicians Network Aco, LLC | Health Maintenance Organization | 5215 Old Orchard Rd, Suite 340, Skokie, IL 60077-1035 | 2013-07-12 |
| 1548427230 | Jafar Shah-mirany | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5215 Old Orchard Rd, Suite 340, Skokie, IL 60077-1035 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184258808 | Cleminson Psychological Services, LLC | Psychologist | 9933 Lawler Ave Ste 324, Skokie, IL 60077-3730 | 2020-03-03 |
| 1427575380 | Heather Stephenson | Psychologist | 9501 Lawler Ave, Skokie, IL 60077-1274 | 2017-08-23 |
| 1376071886 | Marla Debra Miller | Psychologist | 4040 Enfield Ave, Skokie, IL 60076-1934 | 2017-05-28 |
| 1790152635 | Jessica Ellen Dubnow | Psychologist | 5550 Touhy Ave Ste 404, Skokie, IL 60077-3253 | 2015-08-26 |
| 1770830275 | David N. Gershan | Psychologist | 8053 Kolmar Ave, Skokie, IL 60076-3114 | 2012-08-14 |
| 1326326778 | Patricia S Cochran | Psychologist | 8707 Skokie Blvd Ste 310, Skokie, IL 60077-2281 | 2011-08-02 |
| 1962719013 | Paul Thomas Riel | Psychologist | 8540 Leclaire St, Skokie, IL 60077-2135 | 2010-09-10 |
| 1750569224 | Mary Frances Schneider | Psychologist | 5323 Galitz St, Skokie, IL 60077-2712 | 2008-02-06 |
| 1598944530 | Laura S. Trakhtman | Psychologist | 8936 Niles Center Rd # D, Skokie, IL 60076-1847 | 2007-10-26 |
| 1780885772 | Nydia Lelia Welles | Psychologist | 4019 Church St, Skokie, IL 60076-1773 | 2007-05-29 |
| Find all providers in SKOKIE | ||||
Please comment or provide details below to improve the information on DR. JOHN L JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.