Search › Illinois › 207Q00000X
Leslie Jackson, MD
NPI 1649320904 · on the registry since 2007 · sole proprietor
Practice
- Address
- 404 E Main Cross St
Taylorville, IL 62568 - Phone
- (217) 824-3758
- Fax
- (217) 824-3758
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-04-13
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