{"npi":"1619419793","type":"NPI-1","status":"active","name":{"display":"Matt Jackson Agac NP- Bc","other":[],"first":"MATT","last":"JACKSON","credential":"AGAC NP- BC"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"IL","license":"209015073"},{"code":"363LA2100X","description":"Acute Care Nurse Practitioner","primary":false,"state":"IL","license":"209.015073"}]},"addresses":[{"purpose":"LOCATION","street_1":"676 N SAINT CLAIR ST STE 650","city":"CHICAGO","state":"IL","postal_code":"606112929","country_code":"US","phone":"3126953800","fax":"3126953644"},{"purpose":"MAILING","street_1":"676 N SAINT CLAIR ST STE 650","city":"CHICAGO","state":"IL","postal_code":"606112929","country_code":"US","phone":"3126953800","fax":"3126953644"}],"license":{"state":"IL","number":"209015073"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20161117001247","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IL","pac_id":"3870872708"}]},"enumeration_date":"2016-11-07","last_updated":"2026-01-28","_meta":{"source":"NPPES","snapshot_date":"2026-01-28","doc_url":"https://findmynpi.com/api"}}