MARYLYN JACKSON
NPI 1023359510
Dentist - General Practice in Olympia Fields, IL

Active since March 07, 2013
2555 LINCOLN HWY, SUITE 113, OLYMPIA FIELDS, IL 60461(708) 679-0668 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marylyn Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLYN JACKSON (NPI 1023359510) is an individual general practice provider in Olympia Fields, Illinois, licensed in Illinois (019-017207) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1023359510
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMARYLYN JACKSON
Location Address2555 LINCOLN HWY, SUITE 113Olympia Fields, IL 60461-1936
Mailing Address2555 Lincoln Hwy, Suite 113Olympia Fields, IL 60461-1936 · (708) 679-0668
Sole ProprietorNo
Enumeration DateMarch 7, 2013
NPI 1023359510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019-017207
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 019-017207 (IL)
2555 LINCOLN HWY, Olympia Fields, IL 60461

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2555 LINCOLN HWY, SUITE 107
OLYMPIA FIELDS, IL 60461
Dentist (General Practice)
2555 LINCOLN HWY, SUITE 111
OLYMPIA FIELDS, IL 60461
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
2555 LINCOLN HWY
OLYMPIA FIELDS, IL 60461
Family Medicine
2555 LINCOLN HWY, SUITE 206
OLYMPIA FIELDS, IL 60461
Clinic/Center (Community Health)
2555 LINCOLN HWY, SUITE 106
OLYMPIA FIELDS, IL 60461
Nursing Care
2555 LINCOLN HWY
OLYMPIA FIELDS, IL 60461
Dentist
2555 LINCOLN HWY, SUITE 107
OLYMPIA FIELDS, IL 60461
Nurse Practitioner (Women's Health)
2555 LINCOLN HWY, STE 205 A
OLYMPIA FIELDS, IL 60461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marylyn Jackson's NPI number?

The NPI number for Marylyn Jackson is 1023359510. It was assigned to this individual provider in the NPPES registry on March 7, 2013.

Where is Marylyn Jackson located?

Marylyn Jackson practices at 2555 Lincoln Hwy Suite 113, Olympia Fields, IL 60461. The listed phone number is (708) 679-0668.

What is Marylyn Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Marylyn Jackson was last updated on March 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.