DR. JACKSON THOMAS NORMAN MD NPI 1386638310

NPI Information

NPI: 1386638310
Provider Name: DR. JACKSON THOMAS NORMAN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
2300 CHILDREN'S PLAZA
CHILDREN'S MEMORIAL HOSPITAL
CHICAGO, IL
ZIP 60614
Phone: (773) 880-6792
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DR. Jackson Thomas Norman, MD is a diagnostic radiology radiology in Chicago, IL with 37 years of experience. 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.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:1987

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
1	2085P0229X	Radiology	Pediatric Radiology	036-095998	ILLINOIS	No
2	2085R0202X	Radiology	Diagnostic Radiology	036-095998	ILLINOIS	Yes

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
1	G80938	MEDICARE UPIN	ILLINOIS
2	036095998	MEDICAID	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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