Fran Jackson

NPI #1548915135 in Lockport, Illinois

Provider Information

NPI Number
1548915135
Entity Type
Individual
Name
Fran Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Feb 13, 2022
Last Updated
Mar 14, 2022

Practice Location

Address
105 RILEY AVE
ZIP Code
60441-5110
Phone
(779) 456-5813

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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