| Dr Kenneth Jackson, PHD | |
|
5701 N Ashland Ave, Suite 205-a, Chicago, IL 60660-4027 | |
| (773) 454-7202 | |
| (773) 465-5041 |
| Full Name | Dr Kenneth Jackson |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 5701 N Ashland Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588762108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071007090 (Illinois) | Primary |
| 103TH0100X | Psychologist - Health Service | 20042218A (Indiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Jackson, PHD 5701 N Ashland Ave, Suite 205-a, Chicago, IL 60660-4027 Ph: (773) 454-7202 | Dr Kenneth Jackson, PHD 5701 N Ashland Ave, Suite 205-a, Chicago, IL 60660-4027 Ph: (773) 454-7202 |
Dr. Pamela Daley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 N Michigan Ave, Suite 1510, Chicago, IL 60602 Phone: 773-615-9477 | |
Dr. Marilyn Sue Johnson, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 233 E Erie St, Chicago, IL 60611 Phone: 312-337-0374 Fax: 630-762-9978 | |
Dr. Aisha Kazi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 233 E Erie St, Suite 407, Chicago, IL 60611 Phone: 305-804-5842 | |
Dr. Amber D Bauer-gambla, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25 East Washington Street, Suite 1601, Chicago, IL 60602 Phone: 312-720-8008 | |
Dr. Rachel Catherine Tercek, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1653 W. Congress Parkway, Chicago, IL 60612 Phone: 847-933-9339 | |
Ms. Michelle T Frank, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1448 N Milwaukee Ave, Suite 201, Chicago, IL 60622 Phone: 773-486-4617 Fax: 773-486-4936 | |
Dr. Rae Watkins, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1519 W Irving Park Rd Ste 1, Chicago, IL 60613 Phone: 773-600-7580 |