Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lashawnna Chanel Jackson

Individual provider Durable Medical Equipment & Medical Supplies · NPI 1225790447

Lashawnna Chanel Jackson is a Nurse Practitioner in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices with Laser Spine Center of Chicago LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

6307 S Stewart Ave Ste 205
Chicago, IL 60621-3116
Phone: (773) 868-6824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7531 S Stony Island Ave, Chicago, IL 60649-3954 — (773) 868-6824

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277003168 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1225790447
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 6, 2021
Last updated in NPPESJune 8, 2025
Certification dateJune 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Laser Spine Center Of Chicago Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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