Individual
MS. ARLENE C JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MBA
Contact information
Practice address
8959 S OGLESBY AVE, CHICAGO, IL 60617-3048
(773) 817-3572
Mailing address
8959 S OGLESBY AVE, CHICAGO, IL 60617-3048
(773) 817-3572
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
041301090
IL
163WG0000X
General Practice Registered Nurse
Primary
041301090
IL
163WP0808X
Psychiatric/Mental Health Registered Nurse
041301090
IL
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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