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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 ID1184771073
PAC ID by PECOS6608045513
Professional Enrollment IDI20110811000026
NameTAMARA C JACKSON
Medical School NameVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2005
Primary SpecialtyDIAGNOSTIC RADIOLOGY
All secondary specialtiesINTERVENTIONAL RADIOLOGY
Organization NameSUBURBAN RADIOLOGISTS, S.C.
Group Practice PAC ID648248328
Number of Group Practice members26
Address120 N OAK ST, HINSDALE HOSPITAL, HINSDALE, IL, 605213829
Hospital affiliation LBNADVENTIST MIDWEST HEALTH
Graduation Year2005
Contact Number6308567000
Email Address[Show_Email_ID]

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