Search › Illinois › 101YM0800X
Stephen Jackson
NPI 1891563888 · on the registry since 2023
Practice
- Address
- 155 Concord Dr S
Oswego, IL 60543 - Phone
- (708) 964-9735
- Organisation at this address
- Corh Counseling, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-19
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