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Contact Information

JACKSON CORP
5130 W JACKSON BLVD
CHICAGO, IL60644-4332
 Phone: 773-921-8000
 Fax: 773-921-3980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for JACKSON CORP

NPI Number 1740351972
LBN Legal business name JACKSON CORP
Authorized official REUVEN LEVITIN - (PATIENT ACCOUNTS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2006
Last updated 09/09/2009 - About 17 years ago
Identifiers
IL License # 5074210001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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