SearchIllinois122300000X

Lloyd Jackson, DDS

NPI 1780710582 · on the registry since 2007 · sole proprietor

Practice

Address
2100 E Lake Cook Rd
Suite 1100
Buffalo Grove, IL 60089
Phone
(847) 580-5954
Organisation at this address
Primehealth Group Llc
Primehealth Of Illinois Llc
Primehealth Of Illinois Inc
Primesource Healthcare Systems, Inc.
Primesource Healthcare Systems, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-21

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