Jackson, Adam

Jackson, Adam is an sole proprietor health care provider with primary practice located at 55 W Chestnut St , Chicago IL 60610-3347. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Other Service Providers / Sleep Specialist, PhD. Other Service Providers / Sleep Specialist, PhD is his primary health care specialty. Jackson, Adam can be contacted via phone (615) 732-9343.

Contact Information

Primary practice address
55 W Chestnut St Chicago IL 60610-3347
Phone: (615) 732-9343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X 2045 Illinois
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 2045 Tennessee
Other Service Providers / Sleep Specialist, PhD 173F00000X

Profile Details

NPI number 1023558376
LBN Legal business name Jackson, Adam
Credentials BMSCD, MBSC, CNIM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2017
Last updated Apr 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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