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Search › Illinois › 175F00000X

Priscilla Jackson, NMD

NPI 1790533743 · on the registry since 2024 · sole proprietor

Practice

Address
2720 S Highland Ave Apt 501
Lombard, IL 60148
Phone
(630) 741-2846
Organisation at this address
Lulu & Lulu & Lilu Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
175F00000X
175F00000X
Also registered as
133N00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-07

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