Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Philip Larkin Jackson III, MD

Individual provider Emergency Medicine Physician · NPI 1811350705

Dr. Philip Larkin Jackson III, MD is an Emergency Medicine in Chicago, Illinois. Graduated from Wayne State University School of Medicine in 2016, 10 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana and Michigan.

Years since qualifying
10
Trained at
Wayne State University School of Medicine
Licensed in
IL, IN, MI
In the registry since
2016
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

211 E Ontario St Ste 200
Chicago, IL 60611-3468
Phone: (312) 503-7975
Fax: (312) 503-5230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036.148100 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301505821 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01083406A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1811350705
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2016
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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