DR. KRISTINE R. JACKMAN M.D. NPI 1770572984

NPI Information

NPI: 1770572984
Provider Name: DR. KRISTINE R. JACKMAN, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
27790 W HIGHWAY 22
SUITE 37
BARRINGTON, IL
ZIP 60010
Phone: (847) 382-4406
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DR. Kristine R. Jackman, M.D. is a gynecology obstetrics gynecology in Barrington, IL. DR. Kristine R. Jackman, M.D. NPI is 1770572984. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

27790 W HIGHWAY 22
SUITE 37
BARRINGTON, IL
ZIP 60010-340
Phone: (847) 382-4406
Fax: (847) 382-7098

The enumeration date for this NPI number is 10/19/2005 and was last updated on 1/25/2016.

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	207VG0400X	Obstetrics & Gynecology	Gynecology	036-091317	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	G13874	MEDICARE UPIN	ILLINOIS
2	K06560	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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