DR. Mitchell Alin Jackson, MD

NPI #1902958929 in Lake Villa, Illinois

Provider Information

NPI Number: 1902958929
Entity Type: Individual
Name: DR. Mitchell Alin Jackson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jan 18, 2007
Last Updated: Jan 9, 2014

Practice Location

Address: 300 N MILWAUKEE AVE
Address 2: SUITE L JACKSONEYE SC
City: Lake Villa
State: Illinois
ZIP Code: 60046
Phone: (847) 356-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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Organizations

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