Robyn A Jackson (NPI# 1346282449, PAC ID# 9931167301) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1346282449 |
| PAC ID by PECOS | 9931167301 |
| Professional Enrollment ID | I20050103000029 |
| Full Name | Robyn A Jackson |
| Organization Legal Name | CHICAGO METROPOLITAN OBSTETRICIANS AND GYNECOLOGISTS, LTD |
| Address |
15620 S Wood St Southwest Building Harvey IL 60426-4171 |
| Phone Number | 7083333030 |
| Gender | F |
| Credential | MD |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | ADDICTION MEDICINE |
| Group Practice PAC ID | 7810916244 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140191 | INGALLS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15620 S Wood St Southwest Building, Harvey, IL 60426-4171 | 7083333030 | CHICAGO METROPOLITAN OBSTETRICIANS AND GYNECOLOGISTS, LTD |
| Organization Legal Name | CHICAGO METROPOLITAN OBSTETRICIANS AND GYNECOLOGISTS, LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Ngumi | Obstetrics/gynecology | Chicago Metropolitan Obstetricians and Gynecologists, Ltd | 15620 S Wood St Southwest Building, Harvey, IL 60426-4171 |
| Street Address |
15620 S WOOD ST SOUTHWEST BUILDING |
| City | HARVEY |
| State | IL |
| Zip | 60426-4171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Ngumi | Obstetrics/gynecology | Chicago Metropolitan Obstetricians and Gynecologists, Ltd | 15620 S Wood St Southwest Building, Harvey, IL 60426-4171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hee H Kim | Family Medicine | 14618 Lincoln Ave, Harvey, IL 60426-1610 | |
| Michele D Roby | Optometry | 15437 Broadway Ave, Harvey, IL 60426-3306 | |
| Vidhi Srivastava | Anesthesiology | Harvey Anesthesiologists Sc | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Gautam Malik | Internal Medicine | Inpatient Consultants of Illinois PC | 1 Ingalls Dr Ingalls, Harvey, IL 60426-3558 |
| Rajesh V Patel | Urology | Associated Urological Specialists LLC | One Ingalls Dr, Harvey, IL 60426-3558 |
| Soula Karnezis | Certified Registered Nurse Anesthetist (crna) | Harvey Anesthesiologists Sc | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Mark D Stossel | Emergency Medicine | Epmg of Illinois LLC | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Sasmita Misra | Diagnostic Radiology | Specialists In Medical Imaging Sc | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Renee L Peksa-sink | Emergency Medicine | Epmg of Illinois LLC | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Yvette Michele Johnson | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | |
| Find all physicians in zip 60426 | |||
| City | HARVEY |
| Zip Code | 60426 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | HARVEY + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Robyn A Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.