Individual
CHRISTOPHER PAUL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS ATC
Contact information
Practice address
1051 W US RT 6, SUITE 400, MORRIS, IL 60450
(815) 942-8301
(815) 942-8449
Mailing address
1051 W US RT 6, SUITE 400, MORRIS, IL 60450
(815) 942-8301
(815) 942-8449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
096002299
IL
2255A2300X
Athletic Trainer
096002299
IL
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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