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Jessica Jacknow
NPI 1013460781 · on the registry since 2016
Practice
- Address
- 140 Lathrop Ave
Forest Park, IL 60130 - Phone
- (773) 209-5377
- Organisation at this address
- Avante Therapy Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois