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

JACKSON CORP

Active Organization

JACKSON CORP is a Skilled Nursing Facility organization located in CHICAGO, Illinois. NPI 1740351972 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · CHICAGO, IL

Registration Details

NPI Number
1740351972
Provider Type
Organization
NPI Issued
Nov 10, 2006 (19.715578393483 yrs)
Last Updated
Sep 9, 2009
Licenses
5074210001 (IL)
5074210001 (IL)

Practice Information

Address
5130 W JACKSON BLVD
CHICAGO, IL, 606444332
Browse IL providers · Browse ZIP 60644
Phone
7739218000
Fax
7739213980
Primary Specialty
Skilled Nursing Facility
314000000X
Additional Specialty
Skilled Nursing Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.