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Individual

DR. BERNADETTE CADIZ JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
500 MCHENRY RD, BUFFALO GROVE, IL 60089
(847) 537-5000
Mailing address
4501 FAIRFAX AVE, PALATINE, IL 60067-0407
(417) 793-9848

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019779
IL
225100000X
Physical Therapist
2009002317
MO

Other

Enumeration date
12/28/2009
Last updated
04/19/2021
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