Jackson, Theresa

Jackson, Theresa is an individual health care provider with primary practice located at 715 Lake St , Oak Park IL 60301-1422. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jackson, Theresa can be contacted via phone (708) 386-8145.

Contact Information

Primary practice address
715 Lake St Oak Park IL 60301-1422
Phone: (708) 386-8145
Fax: (708) 848-6176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Illinois

Profile Details

NPI number 1275599367
LBN Legal business name Jackson, Theresa
Credentials MSW, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 18 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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