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1083612857
DOUGLAS JACKSON
ELGIN, IL
NPI
1083612857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036057410)
Enumeration Date
2005-07-14
Last Update Date
2007-07-08
Business Address
Dr. DOUGLAS JACKSON M.D.
934 CENTER ST
ELGIN, IL 60120-2125
Phone number: 847-429-8750
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Mailing Address
Dr. DOUGLAS JACKSON M.D.
150 QUAIL RIDGE DR
WESTMONT, IL 60559-6142
Phone number: 630-321-8300
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