Shamika Jackson
NPI 1265100879 · on the registry since 2021
Practice
- Address
- 2213 Cheshire Dr
Aurora, IL 60502 - Phone
- (773) 595-7828
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-31
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