Individual
JACKSON ELLIOT LOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 CLEVELAND ST, EVANSTON, IL 60202-2116
(847) 257-5640
Mailing address
1215 CLEVELAND ST, EVANSTON, IL 60202-2116
(847) 257-5640
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
09/11/2025
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