Individual provider · Type 1 NPI
Arthur L. Jackson
Driver · Chicago, IL
NPI number
1144914995
Active
Practice location
3829 W Maypole Ave
Chicago, IL 60624-3565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | J25005282064 (IL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1144914995
Arthur L. Jackson's National Provider Identifier is 1144914995, issued on Jun 5, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 5, 2023.