Childress-Jackson, Tara
Childress-Jackson, Tara is an sole proprietor health care provider with primary practice located at 8819 S Fairfield Ave , Evergreen Park IL 60805-1144. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Childress-Jackson, Tara can be contacted via phone (312) 758-1463.Contact Information
Primary practice address
8819 S Fairfield Ave
Evergreen Park IL 60805-1144
Phone: (312) 758-1463
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | 217000240 | Illinois |
Profile Details
| NPI number | 1093166373 |
|---|---|
| LBN Legal business name | Childress-Jackson, Tara |
| Credentials | SLPA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2016 |
| Last updated | Jun 28th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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