Individual provider · Type 1 NPI
Petrina Jackson, DC
Chiropractor · Hazel Crest, IL
NPI number
1295377240
Active
Practice location
17516 E Carriageway Dr Ste B
Hazel Crest, IL 60429-2079
Fax (708) 914-4393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.013330 (IL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3 other providers at this address
About NPI 1295377240
Petrina Jackson, DC's National Provider Identifier is 1295377240, issued on Oct 10, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Hazel Crest, IL. The record was last updated on Jan 5, 2023.