Jackson, Kristen A
Jackson, Kristen A is an individual health care provider with primary practice located at 6255 S Archer Ave , Chicago IL 60638-2609. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Jackson, Kristen A can be contacted via phone (773) 284-6735.Contact Information
Primary practice address
6255 S Archer Ave
Chicago IL 60638-2609
Phone: (773) 284-6735
Fax: (773) 284-6820
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 220961806 | Missouri |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-017006 | Illinois |
Profile Details
NPI number | 1912098252 |
---|---|
LBN Legal business name | Jackson, Kristen A |
Credentials | PT,DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2006 |
Last updated | Sep 30th, 2011 - about 13 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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