NPI 1003067307 LAURA JACKMAN NEW LENOX IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Laura Jackman - NPI: 1003067307

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: LAURA JACKMAN
NPI Number: 1003067307
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: 180.003361
Business Practice Address: 1415 Maple Rd
Joliet, IL - 604321442
Business Phone Number: 8157350732
Business Fax Number:
Mailing Address: 604 Lambeth Ln,
NEW LENOX
State: IL
Postal Code: 604519638
Phone Number:
Fax Number:
NPI Enumeration Date: 10/05/2008
NPI Last Update Date: 10/05/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 103TC0700X
License Number: 180.003361
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Psychologist
Taxonomy Specialization: Clinical
Taxonomy Definition:


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