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TAMARA C JACKSON
120 N OAK ST HINSDALE HOSPITAL HINSDALE IL 605213829
TAMARA C JACKSON is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1184771073. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6608045513. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is SUBURBAN RADIOLOGISTS, S.C.. The address is 120 N OAK ST, HINSDALE HOSPITAL, HINSDALE, IL, 605213829. The zip code is 605213829.
|Nation Provider ID||1184771073|
|PAC ID by PECOS||6608045513|
|Professional Enrollment ID||I20110811000026|
|Name||TAMARA C JACKSON|
|Medical School Name||VANDERBILT UNIVERSITY SCHOOL OF MEDICINE|
|Primary Specialty||DIAGNOSTIC RADIOLOGY|
|All secondary specialties||INTERVENTIONAL RADIOLOGY|
|Organization Name||SUBURBAN RADIOLOGISTS, S.C.|
|Group Practice PAC ID||648248328|
|Number of Group Practice members||26|
|Address||120 N OAK ST, HINSDALE HOSPITAL, HINSDALE, IL, 605213829|
|Hospital affiliation LBN||ADVENTIST MIDWEST HEALTH|