Jackson, Petrina F

Jackson, Petrina F is an sole proprietor health care provider with primary practice located at 12224 Fairway Cir Unit A, Blue Island IL 60406-3611. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jackson, Petrina F can be contacted via phone (708) 824-9524.

Contact Information

Primary practice address
12224 Fairway Cir Unit A Blue Island IL 60406-3611
Phone: (708) 824-9524
Fax: (708) 824-9524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Illinois

Profile Details

NPI number 1952476822
LBN Legal business name Jackson, Petrina F
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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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