Individual
JENNIFER N JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 S 5TH AVE BLDG 113, HINES, IL 60141-3030
(708) 202-7966
Mailing address
5000 S 5TH AVE BLDG 113, HINES, IL 60141-3030
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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