DR. JACKSON THOMAS NORMAN III (NPI# 1386638310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386638310 |
| Entity Type | Individual |
| Full Name | DR. JACKSON THOMAS NORMAN III |
| Credential | MD |
| Practice Address |
2300 Children's Plaza Children's Memorial Hospital Chicago IL 60614-3363 |
| Practice Telephone | 7738806792 |
| Practice Fax Number | 7738803517 |
| Mailing Telephone | 7738806792 |
| Mailing Fax Number | 7738803517 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2011-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
036-095998 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036-095998 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036095998 | 05 |
| Street Address |
2300 CHILDREN'S PLAZA CHILDREN'S MEMORIAL HOSPITAL |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932401270 | Katherine Denise Baumgartner | Specialist/Technologist | 2300 Children's Plaza, Chicago, IL 60614-3363 | 2010-11-18 |
| 1790094423 | Melanie Mala Makhija | Allergy & Immunology | 2300 Children's Plaza, #60, Chicago, IL 60614 | 2010-09-29 |
| 1861715971 | Vivian K Liu | Nurse Practitioner | 2300 Children's Plaza, Box #21, Chicago, IL 60614 | 2010-03-03 |
| 1871721324 | Judy Carol Rodino | Nurse Anesthetist, Certified Registered | 2300 Children's Plaza, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2009-06-23 |
| 1922252550 | Laura Bowman | Speech-Language Pathologist | 2300 Children's Plaza, Box #142, Chicago, IL 60614-3363 | 2008-11-10 |
| 1699928812 | Susan Elizabeth Gamerman | Nurse Practitioner | 2300 Children's Plaza, Children's Memorial Hospital, Chicago, IL 60614 | 2008-10-31 |
| 1750551123 | Alexander Farber Post | Neurological Surgery | 2300 Children's Plaza, Chicago, IL 60614 | 2008-03-02 |
| 1013191089 | Andrea L. Paras | Genetic Counselor, MS | 2300 Children's Plaza, Children's Memorial Hospital, Genetics #59, Chicago, IL 60614-3394 | 2007-12-26 |
| 1285764068 | Erin E Rowell | Surgery | 2300 Children's Plaza, Box 63, Chicago, IL 60614 | 2007-03-07 |
| 1699814269 | Ann E Maher | Speech-Language Pathologist | 2300 Children's Plaza, #142, Chicago, IL 60614-3363 | 2007-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1790132934 | Peter Barton Moreau | Radiology | 1740 W Taylor St Rm 2483, Chicago, IL 60612-7232 | 2016-05-18 |
| 1043678899 | Burce Ozgen Mocan | Radiology | 1740 W Taylor St Rm 2511, Department of Radiology (mc931), Chicago, IL 60612-7232 | 2016-02-08 |
| 1538552898 | Imo Ime Uko | Radiology | 4646 N Marine Dr Ste 7100, Chicago, IL 60640 | 2015-03-11 |
| 1962891739 | Katherine Conlon | Radiology | 240 E Huron St # 1-203, Chicago, IL 60611 | 2015-01-16 |
| 1861805871 | Arun Nagaraju | Radiology | 5841 S. Maryland Ave. Suite Mc2026, University of Chicago, Chicago, IL 60637-1448 | 2014-06-06 |
| 1568873529 | Emily Ghobadi | Radiology | 250 E Superior St Rm 4-2304, Chicago, IL 60611-2914 | 2014-05-13 |
| 1306266903 | Jessica Kristen Peterson | Radiology | 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 | 2014-04-22 |
| Find all providers in CHICAGO | ||||
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| 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.