JILL A JACKSON

ROCKFORD, IL
NPI1467564096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-003862)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Ms. JILL A JACKSON PT
4940 E STATE ST
ROCKFORD, IL 61108-2270
Phone number: 815-227-0081
Mailing Address
Ms. JILL A JACKSON PT
2010 BIRCHWOOD DR
ROCKFORD, IL 61107-1809
Phone number: 815-399-9867