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Annie Jackson
NPI 1700338712 · on the registry since 2016
Practice
- Address
- 517 E 153rd St
Phoenix, IL 60426 - Phone
- (708) 513-2866
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-10-26
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