Ecola Jackson, CPHT

NPI 1487094942 · on the registry since 2013

Practice

Address: 5525 S Pulaski Rd
Chicago, IL 60629
Phone: (773) 432-0100
Fax: (773) 432-0101
Organisation at this address: Scal Ii Inc
Mp Pediatrics
Finegold Primary Care
Pedro Lopez, M.D., Ltd
Mercy Hospital & Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: Pharmacy Technician
183700000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-06-28

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