DR. MARVIN ZEBEDEE JACKSON JR. B.S.,D.C.
NPI 1891957015
Chiropractor in Forest Park, IL

Active since June 29, 2008Accepts Medicare Assignment
7435 MADISON ST, FOREST PARK, IL 60130(312) 998-8282 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Marvin Zebedee Jackson Jr. B.s.,d.c. NPPES

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

DR. MARVIN ZEBEDEE JACKSON JR. B.S.,D.C. (NPI 1891957015) is an individual chiropractor in Forest Park, Illinois, licensed in Illinois (038-011180) and active in the NPI registry since June 2008. He is a graduate of Other (2008).

NPPES Registry Identity

NPI1891957015
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARVIN ZEBEDEE JACKSON JR.Credential: B.S.,D.C.
Location Address7435 MADISON STForest Park, IL 60130-1542
Mailing Address7435 Madison StForest Park, IL 60130-1542 · (312) 998-8282
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 29, 2008
Last NPPES UpdateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
NPI 1891957015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038-011180
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

7435 MADISON ST, Forest Park, IL 60130

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Marvin Zebedee Jackson Jr. B.s.,d.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628145083
PECOS Enrollment IDI20080926000257

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Internal Medicine
7435 MADISON ST
FOREST PARK, IL 60130
Massage Therapist
7435 MADISON ST
FOREST PARK, IL 60130
Massage Therapist
7435 MADISON ST
FOREST PARK, IL 60130
Massage Therapist
7435 MADISON ST
FOREST PARK, IL 60130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891957015, enumerated as an "individual" on June 29, 2008.

The provider is located at 7435 MADISON ST FOREST PARK, IL 60130 and the phone number is (312) 998-8282.

Chiropractor with taxonomy code 111N00000X.