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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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