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Individual

DR. MARVIN ZEBEDEE JACKSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S.,D.C.

Contact information

Practice address
7435 MADISON ST, FOREST PARK, IL 60130-1542
(312) 998-8282
Mailing address
7435 MADISON ST, FOREST PARK, IL 60130-1542
(312) 998-8282

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-011180
IL

Other

Enumeration date
06/29/2008
Last updated
03/05/2020
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