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1932643376
BRIDGET P JACKSON
CHICAGO, IL
NPI
1932643376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085006602)
Enumeration Date
2016-12-04
Last Update Date
2022-10-27
Business Address
BRIDGET P JACKSON PA-C
836 W WELLINGTON AVE
CHICAGO, IL 60657-5147
Phone number: 773-296-7054
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Mailing Address
BRIDGET P JACKSON PA-C
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900
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