Search › Illinois › 1223P0300X
Thomas Jackson
NPI 1447595814 · on the registry since 2012 · sole proprietor
Practice
- Address
- 205 W Main St
Barrington, IL 60010 - Phone
- (847) 842-6900
- Fax
- (847) 842-6966
- Organisation at this address
- The Chicago Center For Cosmetic And Implant Dentis
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois