Individual
JESSICA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5744 W MIDWAY PARK, CHICAGO, IL 60644-1818
(773) 827-1199
Mailing address
5744 W MIDWAY PARK, CHICAGO, IL 60644-1818
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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