DR. JACKSON THOMAS NORMAN MD NPI 1386638310

NPI Information

  • NPI: 1386638310
  • Provider Name: DR. JACKSON THOMAS NORMAN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2300 CHILDREN'S PLAZA
    CHILDREN'S MEMORIAL HOSPITAL
    CHICAGO, IL
    ZIP 60614
  • Phone: (773) 880-6792

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NPI Details

DR. Jackson Thomas Norman, MD is a diagnostic radiology radiology in Chicago, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jackson Thomas Norman, MD NPI is 1386638310. 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 CHILDREN'S PLAZA
CHILDREN'S MEMORIAL HOSPITAL
CHICAGO, IL
ZIP 60614-363
Phone: (773) 880-6792
Fax: (773) 880-3517

The NPI 1386638310 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2005 and was last updated on 9/30/2011.

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
12085P0229XRadiologyPediatric Radiology036-095998ILLINOISNo
22085R0202XRadiologyDiagnostic Radiology036-095998ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G80938MEDICARE UPINILLINOIS
2036095998MEDICAIDILLINOIS

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: 11/21/2025

NPI Synchronization or Removal

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