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1598077570
KATHERINE L JACKSON
CHICAGO, IL
NPI
1598077570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070017833)
Enumeration Date
2010-07-08
Last Update Date
2010-07-08
Business Address
-- KATHERINE L JACKSON
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-1000
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Mailing Address
-- KATHERINE L JACKSON
38 GLENBROOK DR
PROSPECT HEIGHTS, IL 60070-1059
Phone number:
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