SHANIQUA JACKSON

OAK LAWN, IL
NPI1801562517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.023822)
Enumeration Date2021-08-22
Last Update Date2021-09-04
Business Address
SHANIQUA JACKSON fnp
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-8000
Mailing Address
SHANIQUA JACKSON fnp
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number:
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