DR. Jackson I Newberry III

NPI #1538673116 in Mundelein, Illinois

Provider Information

NPI Number: 1538673116
Entity Type: Individual
Name: DR. Jackson I Newberry III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 19, 2017
Last Updated: Nov 19, 2017

Practice Location

Address: 201 E PARK ST STE B
City: Mundelein
State: Illinois
ZIP Code: 60060-1973
Phone: (847) 262-4393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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