Jackson, Matt

Jackson, Matt is an sole proprietor health care provider with primary practice located at 1725 W Harrison St Suite 1156, Chicago IL 60612-3841. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Jackson, Matt can be contacted via phone (312) 563-2762.

Contact Information

Primary practice address
1725 W Harrison St Suite 1156 Chicago IL 60612-3841
Phone: (312) 563-2762
Fax: (312) 563-4388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209.015073 Illinois

Profile Details

NPI number 1619419793
LBN Legal business name Jackson, Matt
Credentials AGAC NP- BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2016
Last updated Nov 7th, 2016 - about 9 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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