Jackson, Kristen A

Jackson, Kristen A is an individual health care provider with primary practice located at 6255 S Archer Ave , Chicago IL 60638-2609. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Jackson, Kristen A can be contacted via phone (773) 284-6735.

Contact Information

Primary practice address
6255 S Archer Ave Chicago IL 60638-2609
Phone: (773) 284-6735
Fax: (773) 284-6820
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 220961806 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-017006 Illinois

Profile Details

NPI number 1912098252
LBN Legal business name Jackson, Kristen A
Credentials PT,DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Sep 30th, 2011 - about 15 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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