Te'Ja Jackson

NPI 1568257863 · on the registry since 2025

Practice

Address: 14 Lake St
Oak Park, IL 60302
Phone: (708) 383-0113
Fax: (708) 383-9911
Organisation at this address: Pcc Community Wellness Center
Pcc Community Wellness Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 34

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-04-09

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