GALE VICTORIA JACKSON

CHICAGO, IL
NPI1104098508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  209-005657)
Enumeration Date2008-03-26
Last Update Date2008-03-26
Business Address
Ms. GALE VICTORIA JACKSON NP
1225 W MORSE AVE 305
CHICAGO, IL 60626-5798
Phone number: 773-262-3062
Mailing Address
Ms. GALE VICTORIA JACKSON NP
2100 PHINGSTEN ROAD
GLENVIEW, IL 60025
Phone number: 847-657-5786