Ellen Kimberly Jackson
Ellen Kimberly Jackson is a Non-emergency Medical Transport (VAN) in Riverdale, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
14122 S Wabash AveRiverdale, IL 60827-2236
Phone: (708) 841-9473
Fax: (708) 880-0172
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Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X (IL) |
|---|
Record details
| NPI number | 1730353400 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2008 |
| Last updated in NPPES | April 14, 2008 |
| Mailing address | 14122 S Wabash Ave, Riverdale, IL 60827-2236 |
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