Jackson Corp in Lincolnwood - Parenteral & Enteral Nutrition

Jackson Corp - NPI 1740351972

Jackson Corp is a Parenteral & Enteral Nutrition in Lincolnwood, Illinois. Jackson Corp practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Jackson Corp is 1740351972. The last update date is 2009-09-09.

Jackson Corp's current location address is 7257 N Lincoln Ave, Lincolnwood, Illinois. You can contact this provider via phone number 8479332600 and fax number 8479330686. The mailing address for Jackson Corp is 7257 N Lincoln Ave, Lincolnwood, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jackson Corp
Address 7257 N Lincoln Ave, Lincolnwood, Illinois
Phone Number 8479332600
Fax Number 8479330686
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PATIENT AC
Authorized Official Name Levitin Reuven
Telephone Number 8477456240

NPI Number Detail

NPI Number 1740351972
Provider Enumeration Date 2006-11-10
Last Updated Date 2009-09-09

Provider Mailing Address Detail

Address 7257 N Lincoln Ave
City Lincolnwood
State Illinois (IL)
Post Code 607121810
Phone Number 8479332600
Fax Number 8479330686

Provider's Primary Taxonomy Detail

Speciality Parenteral & Enteral Nutrition
Taxonomy 332Bp3500X
Licence No 5074210001
Definition:
Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers.

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FAQs about Jackson Corp

What is the unique identifier code issued to Jackson Corp by the Centers for Medicare & Medicaid Services (CMS)?

The Jackson Corp has been assigned the NPI (National Provider Identifier) 1740351972. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Jackson Corp's facilities are situated?

The facilities of Jackson Corp are physically located at the following address: 7257 N Lincoln Ave, Lincolnwood, IL, 607121810.

What is Jackson Corp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jackson Corp is Parenteral & Enteral Nutrition, and the corresponding taxonomy classification code for this specialized field is 332Bp3500X.

On what date did the Jackson Corp receive the assignment of its 1740351972 from the Centers for Medicare & Medicaid Services?

The Jackson Corp was issued its 1740351972 by the Centers for Medicare & Medicaid Services on 2006-11-10.

When was the information regarding Jackson Corp, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jackson Corp, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-09-09.

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