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Individual

DR. BRANDI JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1505 E 53RD ST STE 2E, CHICAGO, IL 60615-4509
(312) 337-1073
Mailing address
1505 E 53RD ST STE 2E, CHICAGO, IL 60615-4509
(312) 337-1073

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036146681
IL

Other

Enumeration date
02/06/2015
Last updated
10/08/2024
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