Dr. Mark D Jackson, MD
Dr. Mark D Jackson, MD is a Cardiovascular Disease Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5405 N Knoxville AvePeoria, IL 61614
Phone: (309) 691-4410
Fax: (309) 589-2830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X · Licence 036082717 (IL) |
|---|
Record details
| NPI number | 1952331019 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 4, 2006 |
| Last updated in NPPES | August 31, 2010 |
| Mailing address | 5405 N Knoxville Ave, Peoria, IL 61614 |
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