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Contact Information

DELORES J JACKSON, COTA
10300 SOUTHWEST HIGHWAY
CHICAGO RIDGE, IL60415
 Phone: 708-425-1100
 Fax: 708-425-0209
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for DELORES J JACKSON · (Female)

NPI Number 1780958603
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 02/24/2012
Last updated 02/24/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 057000853
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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