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Search › Illinois › 363LF0000X

Kesha Douglas-Jackson, APN

NPI 1720598071 · on the registry since 2017 · sole proprietor

Practice

Address
2160 S 1st Ave
Maywood, IL 60153
Phone
(872) 231-3162
Fax
(708) 795-0101
Organisation at this address
Walgreen Co
Walgreen Co
Rosin Optical Co., Inc.
Proviso Partners For Health
Loyola University Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,185

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-08

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