Individual
MRS. AMY LAUREN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
18210 LA GRANGE RD, SUITE 103, TINLEY PARK, IL 60487-7722
(708) 478-3111
(708) 479-1146
Mailing address
101 BURR RIDGE PKWY, STE 150, BURR RIDGE, IL 60527-0877
(630) 321-3555
(630) 908-5159
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000696
IL
Other
Enumeration date
12/03/2007
Last updated
05/17/2019
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