Individual
KEISHA SHAVONNE JACKSON-MURRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
812 GLADSTONE DR, VERNON HILLS, IL 60061-1406
(847) 644-6920
Mailing address
812 GLADSTONE DR, VERNON HILLS, IL 60061-1406
(847) 644-6920
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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