Search › Illinois › 2085N0700X
Tamara Jackson, MD
NPI 1184771073 · on the registry since 2007
Practice
- Address
- 469 W Huron St
Apt 810
Chicago, IL 60654 - Phone
- (615) 423-9253
- Organisation at this address
- Kb Enterprises Of Chicago Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 203 S Western Ave, Tonasket, WA
Registry record
- Primary taxonomy
- 2085N0700X
2085N0700X
- Also registered as
- 2085R0202X
390200000X - Licence states on file
- WA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-04
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