TIPHANY JACKSON (NPI# 1881049666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881049666 |
| Entity Type | Individual |
| Full Name | TIPHANY JACKSON |
| Credential | MD |
| Practice Address |
1701 W Superior St Chicago IL 60622-5646 |
| Mailing Address |
836 W Wellington Ave Chicago IL 60657-5147 |
| Practice Telephone | 3126663494 |
| Mailing Telephone | 7739751600 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
036.152149 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4532 S Oakenwald Ave, Chicago, IL 606534514 | 2132190005 |
| Street Address |
1701 W SUPERIOR ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-5646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164461935 | Edith H Harte | Obstetrics & Gynecology | 1701 W Superior St, Erie Family Health Center, Chicago, IL 60622-5646 | 2006-06-06 |
| 1093331837 | Ana K Perez | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-06-17 |
| 1760008502 | Lucy Marie Amaro | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-06-17 |
| 1871119743 | Allee Mcdaniel | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-06-17 |
| 1609499060 | Kelly A Quaine | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-05-20 |
| 1639798366 | Erica Mcnealey | Advanced Practice Midwife | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-04-13 |
| 1114563756 | Laboratory Corporation of America | Clinical Medical Laboratory | 1701 W Superior St, Chicago, IL 60622-5646 | 2019-11-19 |
| 1396389540 | Patricia Luevano | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2019-10-31 |
| 1447808647 | Giovanni Michele Perottino | Student in an Organized Health Care Education/Training Program | 1701 W Superior St, Chicago, IL 60622-5646 | 2019-08-30 |
| 1215442884 | Anna Ruth Blauw | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2017-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471622 | Mount Sinai Community Foundation Dba Sinai Medical Group | Obstetrics & Gynecology | 645 S Central Ave Fl 6, Chicago, IL 60644-5059 | 2019-08-02 |
| 1396100384 | Tatiana Araujo | Obstetrics & Gynecology | 1500 S Fairfield Ave Ste F-206, Chicago, IL 60608-1782 | 2015-12-18 |
| 1982982096 | Kanika Sood | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2011-07-25 |
| 1245433093 | Marko Lekovic, M.d.,s.c. | Obstetrics & Gynecology | 6433 Pulaski Road, Chicago, IL 60629 | 2007-06-08 |
| 1245454222 | V Greene Md PC | Obstetrics & Gynecology | 1322 E 47th St, Chicago, IL 60653-4508 | 2007-04-12 |
| 1659449106 | Somboon Sriaroon | Obstetrics & Gynecology | 2820 W Peterson Ave, Chicago, IL 60659-3803 | 2006-12-01 |
| 1427007582 | Melvin C Bunn | Obstetrics & Gynecology | 1135 E 87th St, Chicago, IL 60619-7011 | 2006-05-08 |
| 1871048058 | Annika Nilsen | Obstetrics & Gynecology | 240 E Huron St, Suite 1-200, Chicago, IL 60611-2909 | 2016-08-17 |
| 1558789826 | Raanan Alter | Obstetrics & Gynecology | 5841 S Maryland Ave # Mc2050, Chicago, IL 60637 | 2014-04-02 |
| 1467682872 | Universal Medical Care | Obstetrics & Gynecology | 1859 S Blue Island Ave, Chicago, IL 60608-3012 | 2009-07-20 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on TIPHANY 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.