Dr Petrina Jackson, DC is a
Chiropractor based in Hazel Crest, Illinois. Dr Petrina Jackson is licensed to practice in Illinois (license number 038.013330) and her current practice location is
17516 E Carriageway Dr Ste B, Hazel Crest, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 260-6699.
NPI number for Dr Petrina Jackson is 1295377240 and her current mailing address is 17516 E Carriageway Dr Ste B, Hazel Crest, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295377240.
Healthcare Provider's Profile
Full Name | Dr Petrina Jackson |
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Gender | Female |
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Speciality | Chiropractor |
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Location | 17516 E Carriageway Dr Ste B, Hazel Crest, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295377240
- Provider Enumeration Date: 10/10/2019
- Last Update Date: 01/05/2023
Medical Identifiers
Medical identifiers for Dr Petrina Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295377240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 038.013330 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Petrina Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Petrina Jackson, DC 17516 E Carriageway Dr Ste B, Hazel Crest, IL 60429-2079 Ph: (708) 914-4445 | Dr Petrina Jackson, DC 17516 E Carriageway Dr Ste B, Hazel Crest, IL 60429-2079 Ph: (708) 260-6699 |
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