Dr Marilyn D Jackson & Associates Ltd

NPI #1336123041 in Sauk Village, Illinois

Provider Information

NPI Number: 1336123041
Entity Type: Organization
Organization Name: Dr Marilyn D Jackson & Associates Ltd
Primary Specialty: Dentist
Enumeration Date: Dec 6, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1705 E SAUK TRL
City: Sauk Village
State: Illinois
ZIP Code: 60411-4955
Phone: (708) 757-3100

Authorized Official

Name: MARILYN DENISE JACKSON, DDS
Title: DENTIST PRESIDENT OF CORPORATION
Phone: (708) 757-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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