Jackson, Brian

Jackson, Brian is an individual health care provider with primary practice located at 1125 N Delany Rd , Gurnee IL 60031-2007. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Jackson, Brian can be contacted via phone (800) 974-4378.

Contact Information

Primary practice address
1125 N Delany Rd Gurnee IL 60031-2007
Phone: (800) 974-4378
Fax: (630) 515-1536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056010871 Illinois

Profile Details

NPI number 1245629583
LBN Legal business name Jackson, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2015
Last updated Oct 5th, 2022 - about 3 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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