Jackson, Gale Victoria
Jackson, Gale Victoria is an sole proprietor health care provider with primary practice located at 1225 W Morse Ave 305, Chicago IL 60626-5798. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jackson, Gale Victoria can be contacted via phone (773) 262-3062.Contact Information
Primary practice address
1225 W Morse Ave 305
Chicago IL 60626-5798
Phone: (773) 262-3062
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | Illinois |
Profile Details
| NPI number | 1104098508 |
|---|---|
| LBN Legal business name | Jackson, Gale Victoria |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2008 |
| Last updated | Mar 26th, 2008 - about 17 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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