MS. DANIELLE S JACKSON


Address: 446 E Ontario St Ste 200, Chicago, IL 60611-4418
Phone: 3129268058

MS. DANIELLE S JACKSON (NPI# 1578906905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578906905
Entity Type Individual
Full Name MS. DANIELLE S JACKSON
Credential MD MPH
Practice Address 446 E Ontario St Ste 200
Chicago
IL 60611-4418
Practice Telephone 3129268058
Mailing Telephone 3129268058
Mailing Fax Number 3129268080
Enumeration Date 2013-04-16
Last Update Date 2018-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
036146152 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
Howard University Hospital, 2401 Georgia Ave, Washington, DC 200600001 2028656100

Other Providers DANIELLE JACKSON

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1578914537 Danielle Jackson Case Manager/Care Coordinator 2088 Carver Dr, Marrero, LA 70072 2016-06-30
1063879930 Danielle Marie Jackson Licensed Practical Nurse 4 Hawk Nest Ln Apt 2, Wallkill, NY 12589-2630 2016-01-24
1033585831 Danielle Lawanna Jackson Registered Nurse 213 Birkdale Dr, Daytona Beach, FL 32124-2053 2015-08-15
1033419155 Danielle Jackson Physician Assistant 1845 Satellite Blvd Nw, Duluth, GA 30097-5256 2010-10-22
1841818531 Danielle Beverly Jackson Speech-Language Pathologist 4501 Jackson Rd, Fredericksburg, VA 22407-6706 2020-07-08
1669093431 Danielle Ashley Jackson Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-02
1104461730 Danielle Jackson Pharmacist 6181 Us Highway 431, Albertville, AL 35950-2011 2019-11-06
1518436559 Danielle Jackson Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2018-11-20

Office Location

Street Address 446 E ONTARIO ST STE 200
City CHICAGO
State IL
Zip Code 60611-4418

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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Competitor

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City CHICAGO
Zip Code 60611

Improve Information

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Dataset Information

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.

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