Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lisa Gibson Jackson, MSCCC-SLP/L

Individual provider Speech-Language Pathologist · NPI 1548587280

Mrs. Lisa Gibson Jackson, MSCCC-SLP/L is a Speech-Language Pathologist in Dolton, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2010
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Practice location Address checks out

15642 Madison Ave
Dolton, IL 60419-3028
Phone: (708) 841-7446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146002827 (IL)

Record details

NPI number1548587280
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP/L
Sole proprietorYes
NPI enumeratedApril 20, 2010
Last updated in NPPESApril 20, 2010

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