Keisha Shavonne Jackson-Murry
NPI #1851859706 in Vernon Hills, Illinois
Provider Information
- NPI Number
- 1851859706
- Entity Type
- Individual
- Name
- Keisha Shavonne Jackson-Murry
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetist
- Enumeration Date
- Mar 11, 2019
- Last Updated
- Mar 11, 2019
Practice Location
- Address
- 812 GLADSTONE DR
- City
- Vernon Hills
- State
- Illinois
- ZIP Code
- 60061-1406
- Phone
- (847) 644-6920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetist |
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