Search › Illinois › 374U00000X
Dmeka Jackson
NPI 1063230159 · on the registry since 2024
Practice
- Address
- 1410 Ridge Ave
Rockford, IL 61103 - Phone
- (779) 423-7866
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-28
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