LAUREN MICHELLE JACKSON


Address: 111 N Wabash Ave, Chicago, IL 60602-1903
Phone: 3122295718

LAUREN MICHELLE JACKSON (NPI# 1598320749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598320749
Entity Type Individual
Full Name LAUREN MICHELLE JACKSON
Credential LPC
Practice Address 111 N Wabash Ave
Chicago
IL 60602-1903
Mailing Address 1350 E 53rd St Unit 300
Chicago
IL 60615-4387
Practice Telephone 3122295718
Mailing Telephone 7736757696
Enumeration Date 2019-05-02
Last Update Date 2019-05-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
178.014879 IL Behavioral Health & Social Service Providers

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Office Location

Street Address 111 N WABASH AVE
City CHICAGO
State IL
Zip Code 60602-1903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578568622 Paul Dale Linden Psychologist 111 N Wabash Ave, Ste 1408, Chicago, IL 60602-3075 2005-06-16
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1548677099 Emily Streit Physical Therapist 111 N Wabash Ave, Suite 1603, Chicago, IL 60602-1903 2014-07-16
1134547573 Michael W Glavin Marriage & Family Therapist 111 N Wabash Ave, Suite 822, Chicago, IL 60602-1903 2014-04-02
1154746469 Tanya Freseth Chiropractor 111 N Wabash Ave, Suite 600, Chicago, IL 60602-1903 2014-02-24
1639590540 Cohen-lewe Chicago Center for Osteopathic Medicine Clinic/Center 111 N Wabash Ave, Ste. 1818, Chicago, IL 60602-1903 2013-12-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710539705 Biyang Wang Social Worker 9 W Washington St, Chicago, IL 60602 2019-07-10
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1013434620 Michelle Malters Counselor 30 N Michigan Ave Ste 1909, Chicago, IL 60602 2017-08-24
1740729474 Jd Manikowski, D.d.s., LLC Health Maintenance Organization 30 N. Michigan Ave #1520, Chicago, IL 60602 2017-02-14
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1790221521 Anastasia Scangas Social Worker 30 N Michigan Ave Ste 826, Chicago, IL 60602 2017-01-18
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60602

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Dataset Information

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.

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