Kevin M Jackson, MD | |
120 Spalding Dr Ste 308, Naperville, IL 60540-6521 | |
(630) 527-7730 | |
(630) 527-7197 |
Full Name | Kevin M Jackson |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 27 Years |
Location | 120 Spalding Dr Ste 308, Naperville, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821103581 | NPI | - | NPPES |
01076371A | Other | IN | LICENSE |
036111694 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 01076371A (Indiana) | Primary |
207T00000X | Neurological Surgery | 036111694 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Edward Health Ventures |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
Mailing Address | Practice Location Address |
---|---|
Kevin M Jackson, MD 120 Spalding Dr Ste 308, Naperville, IL 60540-6521 Ph: (630) 527-7730 | Kevin M Jackson, MD 120 Spalding Dr Ste 308, Naperville, IL 60540-6521 Ph: (630) 527-7730 |
Dr. Michael Howard Rabin, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1551 Bond St Suite 143, Naperville, IL 60563 Phone: 630-983-7100 Fax: 630-983-6331 | |
Drew Allan Spencer, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Spalding Dr Ste 308, Naperville, IL 60540 Phone: 630-527-7730 Fax: 630-527-7197 | |
Dr. Michael J Caron, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Spalding Dr, Suite 207, Naperville, IL 60540 Phone: 630-527-2700 | |
William Benson Schueler, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Spalding Dr Ste 101, Naperville, IL 60540 Phone: 630-527-7730 Fax: 630-527-7732 | |
Daniel Heiferman, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Spalding Dr Ste 308, Naperville, IL 60540 Phone: 630-527-7730 |