Individual
LINDA BROWN-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 W 94TH PL, CHICAGO, IL 60620-1504
(773) 928-0814
Mailing address
316 W 94TH PL, CHICAGO, IL 60620-1504
(773) 928-0814
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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