Jackson, Debbra Carline

Jackson, Debbra Carline is an individual health care provider with primary practice located at 3703 W Lake Ave Suite 200, Glenview IL 60026-5823. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Jackson, Debbra Carline can be contacted via phone (847) 998-1188.

Contact Information

Primary practice address
3703 W Lake Ave Suite 200 Glenview IL 60026-5823
Phone: (847) 998-1188
Fax: (847) 998-8008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 057000216 Illinois

Profile Details

NPI number 1972778181
LBN Legal business name Jackson, Debbra Carline
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 2008 - 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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