KEISHA SHAVONNE JACKSON-MURRY


Address: 812 Gladstone Dr, Vernon Hills, IL 60061-1406
Phone: 8476446920

KEISHA SHAVONNE JACKSON-MURRY (NPI# 1851859706) 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) 1851859706
Entity Type Individual
Full Name KEISHA SHAVONNE JACKSON-MURRY
Practice Address 812 Gladstone Dr
Vernon Hills
IL 60061-1406
Practice Telephone 8476446920
Mailing Telephone 8476446920
Enumeration Date 2019-03-11
Last Update Date 2019-03-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 812 GLADSTONE DR
City VERNON HILLS
State IL
Zip Code 60061-1406

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841833399 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 2019-10-28
1124423769 Deborah Randall Pharmacist 706 Summit Ln, Vernon Hills, IL 60061 2014-10-24
1902217938 Alexandra Kohl Brady Pediatrics 830 W End Ct Ste 500, Vernon Hills, IL 60061 2014-05-13
1467862508 Michelle Bistany Counselor 24647 North Milwaukee Avenue, Vernon Hills, IL 60061 2014-04-29
1740540913 Serge Sorokin Counselor 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 2012-05-22
1972878304 Valerie L Mayer Counselor 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 2012-03-19
1407158033 Ziemowit Mazur Physician Assistant 230 Center Drive, Vernon Hills, IL 60061 2010-12-02
1841508249 Mandy L Imai Speech-Language Pathologist 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 2010-09-20
1811203268 Sarah E. Anderson Occupational Therapist 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 2010-08-24
1679898969 Mussie Beraki Internal Medicine 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 2010-03-30
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225653330 Eduardo Arias Prosthetist 811 S Paulina St Ste 161, Chicago, IL 60612-4353 2020-06-15
1063041036 Tanyale Allen Prosthetist 1016 E 156th Pl, Dolton, IL 60419-2775 2020-04-02
1700414950 Harold Wayne Duckett Prosthetist 1801 15th Street Pl, Moline, IL 61265-3964 2020-03-31
1598395535 Samira Kamran Prosthetist 211 E Ohio St Apt 2505, Chicago, IL 60611-3257 2020-01-17
1558906065 Meilani Schaeffer Prosthetist 11317 W 159th St, Orland Park, IL 60467-5659 2019-11-08
1124586078 Kaiisha Dear Sweet Prosthetist 3408 W 95th St, Evergreen Park, IL 60805-2204 2019-03-11
1811461437 Debria Filer Prosthetist 16126 S Park Ave, South Holland, IL 60473-1581 2019-01-16
1053813089 James Paul Shrader Prosthetist 1551 Bond Street, Suite 111, Naperville, IL 60563 2018-03-06
1144738519 Taisha Worlds Prosthetist 2745 Bristol Dr, Lisle, IL 60532-4215 2018-01-18
1215455852 Bethany Banks Prosthetist 9161 W. Cermak Rd, North Riveride, IL 60546 2017-09-04
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Competitor

Search similar providers

City VERNON HILLS
Zip Code 60061

Improve Information

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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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