Organization
CHERYL JACKSON OD PC
Active
Other names
CHERYL JACKSON OD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL JACKSON OD (OWNER, OD)
(847) 234-7055
Entity
Organization
Contact information
Practice address
10 E. SCRANTON AVE, SUITE 203, LAKE BLUFF, IL 60044
(847) 234-7055
(847) 234-7166
Mailing address
10 EAST SCRANTON AVE, SUITE 203, LAKE BLUFF, IL 60044
(847) 234-7055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008108
IL
Other
Enumeration date
12/10/2008
Last updated
01/23/2009
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