NPI 1023558376

Adam Jackson, BMSCDMBSCCNIM

Practitioner Sleep Specialist (PhD) Chicago, IL

Practice location

Address: 55 W Chestnut St, Chicago, IL 60610-3347
Phone: (615) 732-9343
Mailing address: 55 W Chestnut St APT 2208, Chicago, IL 60610-3345

Registered specialties (3)

Sleep Specialist (PhD) Primary

Other Service Providers Taxonomy 173F00000X

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Electrodiagnostic Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 204R00000X Licence 2045 (IL)

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Clinical Neurophysiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0600X Licence 2045 (TN)

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Registry record

NPI: 1023558376
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2017
Record last updated: 25 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.