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Jackson Corp
Parenteral & Enteral Nutrition Supplies (DME) in Chicago, Illinois
NPI 1740351972

Jackson Corp is a Parenteral & Enteral Nutrition Supplies (DME) based in Lincolnwood, IL and is specialized in Parenteral & Enteral Nutrition. Jackson Corp practices in Chicago, IL. The NPI Number for Jackson Corp is 1740351972 and holds a License No. (Illinois).

The current practice location address for Jackson Corp is 5130 W Jackson Blvd, Chicago, IL and can be reached out via phone at 773-921-8000 and via fax at 773-921-3980.

Location: 5130 W Jackson Blvd, Chicago, IL, 60712-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740351972
Provider Name
Jackson Corp
Credential
Provider Entity Type
Organization
Address
5130 W Jackson Blvd, Chicago, IL, 60712-1810
Phone Number
773-921-8000
Fax Number
773-921-3980
Provider Enumeration Date
11/10/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
5130 W Jackson Blvd
City
Chicago
State
Illinois
Zip
60644-4332
Phone Number
773-921-8000
Fax Number
773-921-3980
person
Provider Business Mailing Address Details
Address
5130 W Jackson Blvd
City
Chicago
State
Illinois
Zip
60644-4332
Phone Number
773-921-8000
Fax Number
773-921-3980
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
5074210001 (Illinois)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
5074210001 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
(Illinois)
Definition
Definition to come...
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