SearchIllinois163W00000X

Linda Jackson

NPI 1780361030 · on the registry since 2023

Practice

Address
8051 S Saint Lawrence Ave
Chicago, IL 60619
Phone
(773) 301-9241

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-29

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