Individual
ZOE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-8177
Mailing address
855 W MADISON ST APT 1613, CHICAGO, IL 60607-3140
(760) 484-2060
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
041495580
IL
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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