SearchIllinois363AS0400X

Jessica Jackson, PA-C

NPI 1780055285 · on the registry since 2015 · sole proprietor

Practice

Address
330 Madison St Ste 104
Joliet, IL 60435
Phone
(815) 725-3440
Organisation at this address
George Dephillips
Promises Of Recovery
Joliet Surgicare, P.C.
Family Medical Group, S.C
Dupage Medical Group, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-10

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