| Dr Marvin Zebedee Jackson Jr, BS,DC | |
|
7435 Madison St, Forest Park, IL 60130-1542 | |
| (312) 998-8282 | |
| Not Available |
| Full Name | Dr Marvin Zebedee Jackson Jr |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 16 Years |
| Location | 7435 Madison St, Forest Park, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891957015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038-011180 (Illinois) | Primary |
| Provider Name | Jackson Chiropractic & Rehabilitation, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023447448 PECOS PAC ID: 0143545962 Enrollment ID: O20150218001882 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marvin Zebedee Jackson Jr, BS,DC 7435 Madison St, Forest Park, IL 60130-1542 Ph: (312) 998-8282 | Dr Marvin Zebedee Jackson Jr, BS,DC 7435 Madison St, Forest Park, IL 60130-1542 Ph: (312) 998-8282 |
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