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

Gregory Paul Jackson, MD

Individual provider Diagnostic Radiology Physician · NPI 1649257163

Gregory Paul Jackson, MD is a Diagnostic Radiology in Evanston, Illinois. Qualified in 1989, 37 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
37
Licensed in
IL
In the registry since
2005
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

2650 Ridge Ave
Evanston, IL 60201-1700
Phone: (847) 570-2475
Fax: (847) 570-2942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036088433 (IL)

Record details

NPI number1649257163
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address2650 Ridge Ave # 1223, Evanston, IL 60201-1700

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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