George, Jackson T

George, Jackson T is an individual health care provider with primary practice located at 115 N Wolf Rd , Des Plaines IL 60016-2111. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. George, Jackson T can be contacted via phone (847) 924-6592.

Contact Information

Primary practice address
115 N Wolf Rd Des Plaines IL 60016-2111
Phone: (847) 924-6592
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160007346 Illinois

Profile Details

NPI number 1912371113
LBN Legal business name George, Jackson T
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2015
Last updated Nov 25th, 2015 - about 10 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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