Matt Jackson, AGAC NP- BC is an acute care nurse practitioner in Chicago, IL. Matt Jackson, AGAC NP- BC NPI is 1619419793. 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:
1725 W HARRISON ST
SUITE 1156
CHICAGO, IL
ZIP 60612-841
Phone: (312) 563-2762
Fax: (312) 563-4388
The NPI 1619419793 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 11/7/2016 and was last updated on 11/7/2016.