Search › Illinois › 101YM0800X
Michael Jackson
NPI 1457809931 · on the registry since 2016 · sole proprietor
Practice
- Address
- 10001 W. Grand Avenue
Franklin Park, IL 60131 - Phone
- (847) 451-5065
- Organisation at this address
- Leyden Family Service
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2016-09-14
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