Individual
MS. LINDSAY MCCARTHY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-2200
Mailing address
225 E CHICAGO AVE BOX 22, CHICAGO, IL 60611-2991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.009833
IL
363L00000X
Nurse Practitioner
Primary
277.000862
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.009833
ADVANCED PRACTICE NURSE-CERTIFIED NURSE PRACTITIONER
IL
Enumeration date
10/09/2012
Last updated
09/06/2022
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