MS. GALE VICTORIA JACKSON (NPI# 1104098508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104098508 |
| Entity Type | Individual |
| Full Name | MS. GALE VICTORIA JACKSON |
| Credential | NP |
| Practice Address |
1225 W Morse Ave 305 Chicago IL 60626-5798 |
| Mailing Address |
2100 Phingsten Road Glenview IL 60025 |
| Practice Telephone | 7732623062 |
| Mailing Telephone | 8476575786 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811039167 | Gale Jackson | Social Worker | 6609 Stoll Ln, Cincinnati, OH 45236-4036 | 2007-02-13 |
| 1437315470 | Gale Evans Jackson | Family Medicine | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2008-07-30 |
| Street Address |
1225 W MORSE AVE 305 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60626-5798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194127852 | Monika Gutkowska | Psychologist | 1225 W Morse Ave, Unit 203, Chicago, IL 60626-5798 | 2014-09-24 |
| 1083056139 | Reachaba | Day Training, Developmentally Disabled Services | 1225 W Morse Ave, #410, Chicago, IL 60626-5798 | 2013-07-17 |
| 1205136173 | Stephanie Koutsky | Behavioral Analyst | 1225 W Morse Ave, #410, Chicago, IL 60626-3070 | 2010-10-26 |
| 1215259403 | Julie C Aiello | Behavioral Analyst | 1225 W Morse Ave, #410, Chicago, IL 60626-5798 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116390 | Rebecca Powers | Physical Therapist | 1214 West Loyola Court, Chicago, IL 60626 | 2020-08-25 |
| 1699307918 | Trilogy, Inc. | Clinic/Center | 1763 W. Estes Avenue, Chicago, IL 60626 | 2020-02-05 |
| 1134617236 | Trilogy Inc. | Community/Behavioral Health | 7474 N Paulina St, Chicago, IL 60626 | 2018-04-25 |
| 1891203477 | Natalie Cerda | Specialist/Technologist | 6526 North Winthrop, Chicago, IL 60626 | 2018-01-17 |
| 1841709136 | Jennifer Browse | Speech-Language Pathologist | 7101 N. Greenview, Chicago, IL 60626 | 2017-09-29 |
| 1922526292 | Bill Johnson | Psychologist | 1712 W Estes Avenue Unit 109, Chicago, IL 60626 | 2017-09-06 |
| 1326580333 | Zackary Charles Davis | Specialist/Technologist | 6526 N. Winthrop Avenue, Chicago, IL 60626 | 2016-11-08 |
| 1053772913 | Devon Migues | Counselor | 6710 N Hermitage Ave, 1, Chicago, IL 60626 | 2016-03-18 |
| 1457718124 | Carol L. Marshall | Social Worker | 7231 1/2 N. Sheridan Rd, Chicago, IL 60626 | 2016-01-26 |
| 1972948206 | Donna Darcell Smith | Counselor | 1401 West Jarvis Ave., #2e, Chicago, IL 60626 | 2013-04-30 |
| Find all providers in zip 60626 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1750882742 | Racheal Coleman | Nurse Practitioner | 1725 W Harrison St Ste 1121, Chicago, IL 60612-3841 | 2018-02-24 |
| 1942725890 | Alissa L Faletti | Nurse Practitioner | 100 E Walton St Apt 39a, Chicago, IL 60611-1426 | 2017-08-11 |
| 1417483348 | Stephanie Denise Orr | Nurse Practitioner | 5115 S University Ave Apt 3, Chicago, IL 60615-3961 | 2017-05-11 |
| 1255870796 | Thaddeus Trejo | Nurse Practitioner | 4211 N Pulaski Rd, Chicago, IL 60641-2331 | 2017-02-16 |
| 1124570742 | Angela Fiorelli | Nurse Practitioner | 1942 W Cortland St, Chicago, IL 60622-1040 | 2016-10-31 |
| 1023481744 | Michelle Audrey Calvario | Nurse Practitioner | 250 E Superior St Ste 5-2322, Chicago, IL 60611-2914 | 2015-11-03 |
| 1104294834 | Elizabeth Mclaughlin | Nurse Practitioner | 5315 N Lockwood Ave, Chicago, IL 60630-1409 | 2015-09-11 |
| Find all providers in CHICAGO | ||||
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| 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.