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Miss Diana Dean Jackson, MS
Specialist in Matteson, Illinois
NPI 1225247752

Diana Dean Jackson is a Specialist based in Matteson, IL. Diana Dean Jackson practices in Matteson, IL and has the professional credentials of MS. The NPI Number for Diana Dean Jackson is 1225247752 and holds a License No. (Illinois).

The current practice location address for Diana Dean Jackson is 6133 Elm Ln, Matteson, IL and can be reached out via phone at 708-720-1621 and via fax at 708-720-1621.

Location: 6133 Elm Ln, Matteson, IL, 60443-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225247752
Provider Name
Diana Dean Jackson
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
6133 Elm Ln, Matteson, IL, 60443-1321
Phone Number
708-720-1621
Fax Number
708-720-1621
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6133 Elm Ln
City
Matteson
State
Illinois
Zip
60443-1321
Phone Number
708-720-1621
Fax Number
708-720-1621
person
Provider Business Mailing Address Details
Address
6133 Elm Ln
City
Matteson
State
Illinois
Zip
60443-1321
Phone Number
708-720-1621
Fax Number
708-720-1621
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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