JESSICA JACKNOW

FOREST PARK, IL
NPI1013460781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160003547)
Enumeration Date2016-07-29
Last Update Date2016-07-29
Business Address
-- JESSICA JACKNOW
140 LATHROP AVE
FOREST PARK, IL 60130-1067
Phone number: 773-209-5377
Mailing Address
-- JESSICA JACKNOW
140 LATHROP AVE
FOREST PARK, IL 60130-1067
Phone number: