CHERYL LYNN JACKSON RDCS NPI 1285811273

NPI Information

NPI: 1285811273
Provider Name: CHERYL LYNN JACKSON, RDCS
Classification: Specialist/Technologist Cardiovascular - 246XS1301X
Entity Type: Individual

Specialization: Sonography

Address:
20039 OAKWOOD DR
MOKENA, IL
ZIP 60448
Phone: (708) 479-0271
Get Directions

Cheryl Lynn Jackson, RDCS is a sonography specialist technologist cardiovascular in Mokena, IL. Cheryl Lynn Jackson, RDCS NPI is 1285811273. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20039 OAKWOOD DR
MOKENA, IL
ZIP 60448-397
Phone: (708) 479-0271
Fax: (708) 479-4425

The enumeration date for this NPI number is 1/22/2008 and was last updated on 1/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246XS1301X	Specialist/Technologist Cardiovascular	Sonography	48673	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201010	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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