Search › Illinois › 163WP0808X
Robin Jackson
NPI 1720647670 · on the registry since 2019
Practice
- Address
- 21121 Christina Dr
Matteson, IL 60443 - Phone
- (312) 218-7409
- Organisation at this address
- Special Care Transportaion
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163WP0808X
163WP0808X
- Also registered as
- 163WP0808X
- Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-12
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