Individual
DENISE L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10043 W LINCOLN HWY, FRANKFORT, IL 60423-1272
(708) 709-9300
(708) 709-6353
Mailing address
333 DIXIE HWY, CHICAGO HTS, IL 60411-1748
(708) 756-0100
(708) 709-6353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036094604
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4673170001
DMERC GROUP
IL
01
—
P00450388/C K6882
RAILROAD MEDICARE
IL
Enumeration date
05/17/2006
Last updated
10/17/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us