Jackson, Marvin Zebedee

Jackson, Marvin Zebedee is an sole proprietor health care provider with primary practice located at 7435 Madison St , Forest Park IL 60130-1542. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jackson, Marvin Zebedee can be contacted via phone (312) 998-8282.

Contact Information

Primary practice address
7435 Madison St Forest Park IL 60130-1542
Phone: (312) 998-8282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-011180 Illinois

Profile Details

NPI number 1891957015
LBN Legal business name Jackson, Marvin Zebedee
Credentials B.S.,D.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2008
Last updated Mar 5th, 2020 - about 4 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.

Request for update

Popular Providers