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DR. MARVIN WILLIAM JACKSON MD MS NPI 1760814040


NPI Information

NPI: 1760814040
Provider Name: DR. MARVIN WILLIAM JACKSON, MD, MS
Classification: Preventive Medicine - 2083A0100X
Entity Type: Individual

Specialization: Aerospace Medicine

Address:
2300 E DEVON AVE
SUITE 427
DES PLAINES, IL
ZIP 60018
Phone: (847) 294-7795
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DR. Marvin William Jackson, MD, MS is an aerospace medicine preventive medicine in Des Plaines, IL. The provider is aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. DR. Marvin William Jackson, MD, MS NPI is 1760814040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2300 E DEVON AVE
SUITE 427
DES PLAINES, IL
ZIP 60018-696
Phone: (847) 294-7795
Fax: (847) 294-7808

The enumeration date for this NPI number is 8/8/2013 and was last updated on 8/8/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083A0100XPreventive MedicineAerospace Medicine35.085150OHIONo
22083A0100XPreventive MedicineAerospace Medicine036.122582ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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