Jackson, Shazadia

Jackson, Shazadia is an sole proprietor health care provider with primary practice located at 1510 Tearle Ct , Flossmoor IL 60422-4500. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jackson, Shazadia can be contacted via phone (773) 430-1371.

Contact Information

Primary practice address
1510 Tearle Ct Flossmoor IL 60422-4500
Phone: (773) 430-1371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1386384519
LBN Legal business name Jackson, Shazadia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2022
Last updated Mar 29th, 2022 - about 2 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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