Individual
LINDA DENISE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8051 S SAINT LAWRENCE AVE, CHICAGO, IL 60619-3813
(773) 301-9241
Mailing address
8051 S SAINT LAWRENCE AVE, CHICAGO, IL 60619-3813
(773) 301-9241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041323109
IL
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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