Jackson, Denise
Jackson, Denise is an individual health care provider with primary practice located at 10300 Southwest Hwy , Chicago Ridge IL 60415-1426. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Jackson, Denise can be contacted via phone (708) 425-1100.Contact Information
Primary practice address
10300 Southwest Hwy
Chicago Ridge IL 60415-1426
Phone: (708) 425-1100
Fax: (708) 425-0209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 160000679 | Illinois |
Profile Details
| NPI number | 1093089906 |
|---|---|
| LBN Legal business name | Jackson, Denise |
| Credentials | LPTA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2012 |
| Last updated | Feb 24th, 2012 - about 12 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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