Individual
JACKSON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 723-2210
(847) 723-8285
Mailing address
1675 DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 723-2210
(847) 723-8285
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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