MS. ANN WILBORN JACKSON (NPI# 1073668810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073668810 |
| Entity Type | Individual |
| Full Name | MS. ANN WILBORN JACKSON |
| Credential | PT |
| Practice Address |
18860 Hamlin Ave Flossmoor IL 60422-1046 |
| Practice Telephone | 7089220741 |
| Practice Fax Number | 7089220196 |
| Mailing Telephone | 7089220741 |
| Mailing Fax Number | 7089220196 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467974253 | Ann Marie Jackson | Dentist | 1 Medical Center Dr Rm 1200, Morgantown, WV 26506-1200 | 2017-07-12 |
| 1851464085 | Ann M. Jackson | Marriage & Family Therapist | 22205 W Ashleigh Marie Dr, Buckeye, AZ 85326-8699 | 2006-11-16 |
| 1831698570 | Ann Clara Jackson | Registered Nurse | 3080 S Stratton Dr, West Allis, WI 53219-2762 | 2018-02-08 |
| 1699176834 | Ann Lyons Jackson | Social Worker | 3170 Church Street, Slaughter, LA 70777-0000 | 2014-09-08 |
| 1992939508 | Ann C Jackson | Counselor | 333 S Central Ave, Los Angeles, CA 90013-1724 | 2009-05-11 |
| 1114101896 | Ann Patricia Jackson | Health Maintenance Organization | 200 Elkin Business Park Dr, Elkin, NC 28621-3159 | 2007-12-18 |
| Street Address |
18860 HAMLIN AVE |
| City | FLOSSMOOR |
| State | IL |
| Zip Code | 60422-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
| 1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
| 1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
| 1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
| 1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
| 1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
| 1285981506 | Restorative Life Services, LLC | Social Worker | 169624 Governors Highway, Flossmoor, IL 60422 | 2012-08-06 |
| 1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
| 1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
| 1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
| Find all providers in zip 60422 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461191 | Emily Fogler | Physical Therapist | 355 E Erie St # C, Chicago, IL 60611-3167 | 2020-03-11 |
| 1285962043 | Sakina Valika | Physical Therapist | 3140 Finley Rd Ste 400d, Downers Grove, IL 60515-1376 | 2009-12-05 |
| 1982879847 | Rehab Team. Inc | Physical Therapist | 9441 Georgetown Sq, Orland Park, IL 60467-5623 | 2008-04-22 |
| 1649458175 | Kristin Ann Maresca | Physical Therapist | 24648 Kingston St, Plainfield, IL 60544-2439 | 2008-02-06 |
| 1750412474 | Sheila A. Taylor | Physical Therapist | 997 N Corporate Cir, Grayslake, IL 60030-7822 | 2007-03-07 |
| 1871136028 | Margaret Frank | Physical Therapist | 2180 Pfingsten Rd, Glenview, IL 60026-1339 | 2019-10-21 |
| 1629624473 | Allison Marie Fortney | Physical Therapist | 2180 Pfingsten Rd, Glenview, IL 60026-1339 | 2019-08-16 |
| 1114581204 | Sherri Lynn Alvarez | Physical Therapist | 800 Ne Glen Oak Ave, Peoria, IL 61603-3255 | 2019-04-24 |
| 1275089310 | Angela Mackowiak | Physical Therapist | 2100 Pfingsten Rd, Glenview, IL 60026-1301 | 2016-08-29 |
| 1649672999 | Janet Odry Helminski | Physical Therapist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2014-09-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. ANN WILBORN JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.