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1316169279
JOHN L JACKSON
SKOKIE, IL
NPI
1316169279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071003528)
Enumeration Date
2007-05-02
Last Update Date
2015-08-06
Business Address
Dr. JOHN L JACKSON Ph.D.
5215 OLD ORCHARD RD STE 600
SKOKIE, IL 60077-1035
Phone number: 224-935-9807
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Mailing Address
Dr. JOHN L JACKSON Ph.D.
PO BOX 6043
ELGIN, IL 60121-6043
Phone number: 847-214-3676
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