Jackson, Amy Lauren

Jackson, Amy Lauren is an individual health care provider with primary practice located at 18210 La Grange Rd Suite 103, Tinley Park IL 60487-7722. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Jackson, Amy Lauren can be contacted via phone (708) 478-3111.

Contact Information

Primary practice address
18210 La Grange Rd Suite 103 Tinley Park IL 60487-7722
Phone: (708) 478-3111
Fax: (708) 479-1146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147000696 Illinois

Profile Details

NPI number 1912189820
LBN Legal business name Jackson, Amy Lauren
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2007
Last updated May 17th, 2019 - about 5 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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