DR. ALYCE F JACKSON (MD) – Physical Medicine & Rehabilitation Physician, NPI 1053419119

DR. ALYCE F JACKSON (MD) is a healthcare provider. based in Kankakee, Illinois. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials MD. They hold a License No. 036095105 (IL). The NPI Number for DR. ALYCE F JACKSON (MD) is 1053419119

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALYCE F JACKSON (MD)
NPI
1053419119
Phone
(815) 932-6632
Address
375 N WALL ST STE P520
Enumeration Date
20 September 2006
Last Update Date
22 March 2021

Doctor Profile

Medical School Name
UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8159286272
Graduation Year
1993 (33 years ago)
PAC ID
4486617354
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20041111000085

Contacts

Secure Messaging
ajackson7237@Direct.riversidehealthcare.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. ALYCE F JACKSON (MD)

  • 375 N WALL ST STE P520

    KANKAKEE, IL 609013493

    Phone: (815) 932-6632

    Fax: (815) 932-5760

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60901)

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Provider's Procedures

DR. ALYCE F JACKSON (MD) performs procedures in Physical Medicine & Rehabilitation Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOIL20610Aspiration and/or injection of large joint or joint capsule1511

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
-IL
-IL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What is the registry number for DR. ALYCE F JACKSON (MD)?
The registry entry for DR. ALYCE F JACKSON (MD) shows NPI 1053419119.
Does the public listing show DR. ALYCE F JACKSON (MD) as active?
DR. ALYCE F JACKSON (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. ALYCE F JACKSON (MD)'s listing?
DR. ALYCE F JACKSON (MD)'s public classification highlights Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ALYCE F JACKSON (MD)?
DR. ALYCE F JACKSON (MD) shows a connection to Kankakee, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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