Search › Illinois › 363L00000X
Summer Jackson, NP
NPI 1790432458 · on the registry since 2022
Practice
- Address
- 531 Linden Ave
Bellwood, IL 60104 - Phone
- (773) 416-9936
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-15
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