CARMELLA JACKSON

MATTESON, IL
NPI1336782200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209020232)
Enumeration Date2019-10-23
Last Update Date2019-10-23
Business Address
CARMELLA JACKSON
916 SCHOOL AVE
MATTESON, IL 60443-1832
Phone number: 773-941-1587
Mailing Address
CARMELLA JACKSON
916 SCHOOL AVE
MATTESON, IL 60443-1832
Phone number: 773-941-1587
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