Jackson, Michael

Jackson, Michael is an sole proprietor health care provider with primary practice located at 10001 W. Grand Avenue , Franklin Park IL 60131. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jackson, Michael can be contacted via phone (847) 451-5065.

Contact Information

Primary practice address
10001 W. Grand Avenue Franklin Park IL 60131
Phone: (847) 451-5065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1457809931
LBN Legal business name Jackson, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2016
Last updated Sep 14th, 2016 - about 8 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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