Individual
DR. THOMAS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 W MAIN ST, BARRINGTON, IL 60010-4205
(847) 842-6900
(847) 842-6966
Mailing address
205 W MAIN ST, BARRINGTON, IL 60010-4205
(847) 842-6900
(847) 842-6966
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021.002086
IL
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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