Jackson, Robyn A
Jackson, Robyn A is an individual health care provider with primary practice located at 600 Holiday Dr Suite 525, Matteson IL 60443-2241. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jackson, Robyn A can be contacted via phone (708) 898-2613.Contact Information
Primary practice address
600 Holiday Dr Suite 525
Matteson IL 60443-2241
Phone: (708) 898-2613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036095867 | Illinois |
Profile Details
| NPI number | 1346282449 |
|---|---|
| LBN Legal business name | Jackson, Robyn A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Apr 25th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346282449 | NPPES |
| Illinois | MEDICAID | 036095867 |
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