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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIQIANA JACKSON

Active

KIQIANA JACKSON is a Developmental Therapist healthcare provider located in CHICAGO, Illinois. NPI 1194197210 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · CHICAGO, IL

Registration Details

NPI Number
1194197210
Provider Type
Individual
Gender
Female
NPI Issued
Oct 28, 2015 (10.805564744403 yrs)
Last Updated
Dec 1, 2015

Practice Information

Address
8808 S HERMITAGE AVE
CHICAGO, IL, 606204940
Browse IL providers · Browse ZIP 60620
Phone
7736568638
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in CHICAGO, IL

Name Credential NPI
CHRISTINA G. COPELAND 1922193820
MS. JOANNE CARBONELL-RODRIGUEZ DT 1508909797
MS. AMY LOUISE BLACK DT 1942336672
ELIZABETH BENNEY MA DT CIMI 1306978903
SUSAN FECZKO STA 1043344211
JADWIGA POLEK 1275654949
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.