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Desiree Jackson
NPI 1902752793 · on the registry since 2026
Practice
- Address
- 1024 Diane Ct
Springfield, IL 62702 - Phone
- (217) 220-4094
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-05
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