Jackson, Tawann

Jackson, Tawann is an individual health care provider with primary practice located at 360 Blair Lane Door 13, Bolingbrook IL 60615. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Jackson, Tawann can be contacted via phone (630) 679-1210.

Contact Information

Primary practice address
360 Blair Lane Door 13 Bolingbrook IL 60615
Phone: (630) 679-1210
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 2403396 Illinois

Profile Details

NPI number 1710404496
LBN Legal business name Jackson, Tawann
Credentials ED.S, NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2017
Last updated Aug 24th, 2017 - about 7 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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