Lori R Jackson, MD
Family Medicine in Lake Forest, IL. Individual provider (NPI-1).
NPI number1154533271
StatusActive
Last updated in NPPESJan 26, 2026
Details
- NPI
- 1154533271
- Entity type
- Individual (NPI-1)
- Name
- Lori R Jackson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2007
- Certification date
- Jan 26, 2026
- Last updated
- Jan 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036119598 | IL | Yes |
Practice location
915 S Waukegan RdLake Forest, IL 60045-2654
Phone 847-234-8866 · Fax 847-234-4682
Mailing address
2650 Ridge Ave # 1223Evanston, IL 60201-1700
Phone 847-982-3175 · Fax 847-982-3394
Other practice locations
1701 Curtis Rd
Champaign, IL 61822-9678
Champaign, IL 61822-9678
Phone 217-365-6201 · Fax 217-326-4003
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All 10 Family Medicine Physician providers in Lake Forest · All 978 providers in Lake Forest
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