MR. MICHAEL JACKSON (NPI# 1457809931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457809931 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JACKSON |
| Practice Address |
10001 W. Grand Avenue Franklin Park IL 60131 |
| Practice Telephone | 8474515065 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345346 | Michael Frederick Jackson | Massage Therapist | 12702 E 33rd Ct, Spokane Valley, WA 99206-8372 | 2020-08-04 |
| 1295372993 | Michael Jackson | Chiropractor | 5216 Cold Springs Way, Eugene, OR 97405-5213 | 2019-12-02 |
| 1801365382 | Michael Jackson | Durable Medical Equipment & Medical Supplies | 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 | 2018-11-14 |
| 1114441375 | Michael Frank Jackson Jr. | Physical Therapist | 1806 Russell Pkwy Ste 1400, Warner Robins, GA 31088-5781 | 2017-07-31 |
| 1639625833 | Michael Jackson | Counselor | 128 Mute Swan Place, Newark, DE 19711 | 2016-08-28 |
| 1467823104 | Michael Jackson | Occupational Therapy Assistant | 1913 N Oakes St Apt D, Tacoma, WA 98406-7527 | 2015-10-07 |
| 1831576651 | Michael Howard Jackson | Family Medicine | 4646 Nw Fielding Road, Topeka, KS 66618 | 2015-04-30 |
| 1063809846 | Michael Jackson | Social Worker | 43518 Champlain Ct, Canton, MI 48188-1711 | 2015-04-20 |
| 1780922872 | Michael A Jackson | Pharmacist | 585 Mcwilliams Rd Se Unit 2303, Atlanta, GA 30315-7571 | 2013-01-23 |
| 1790045763 | Michael A Jackson | Pharmacist | 123 East South Main St, Littleton, NC 27850 | 2012-05-23 |
| Street Address |
10001 W. GRAND AVENUE |
| City | FRANKLIN PARK |
| State | IL |
| Zip Code | 60131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457835506 | Elizabeth Marder Smith | Social Worker | 10001 W. Grand Avenue, Franklin Park, IL 60131 | 2018-09-24 |
| 1881145373 | Leyden Family Service | Case Management | 10001 W. Grand Avenue, Franklin Park, IL 60131 | 2016-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518431683 | Zachary Michael Loveland | Social Worker | Leyden Family Services, 10001 W. Grand Ave, Franklin Park, IL 60131 | 2019-01-11 |
| 1235657735 | Med-elite Innovation Inc. | Durable Medical Equipment & Medical Supplies | 11101 Franklin Ave., Franklin Park, IL 60131 | 2017-09-05 |
| 1427572395 | Whitney Lynn Lai | Counselor | 10001 West Grand Avenue, Franklin Park, IL 60131 | 2017-08-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1124433404 | Anna Califf | Developmental Therapist | 3047 Ruby Street, Franklin Park, IL 60131 | 2014-06-25 |
| 1275955700 | Matthew Wayne Jones | Counselor | 10200 W. Grand Ave, Franklin Park, IL 60131 | 2014-01-17 |
| 1467761056 | Shalvi Rutul Shah | Physical Therapist | 2930 N. Manheim Road, Suit 3a, Franklin Park, IL 60131 | 2010-09-29 |
| 1427227669 | Leyden Family Service & Mental Health Center | Clinic/Center | 10200 Grand Ave, Franklin Park, IL 60131 | 2008-02-21 |
| 1902082100 | Vincent Domingo Dc Sc | Chiropractor | 3545 N Rose Street, Franklin Park, IL 60131 | 2008-01-17 |
| 1649396318 | Cook Cnty Bd Education 083 | Local Education Agency (LEA) | 10401 W Grand Ave, Franklin Park, IL 60131 | 2007-03-22 |
| Find all providers in zip 60131 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891325791 | Godbridge Intergrated Care | Counselor | 6 Wyckoff Pl, Franklin Park, NJ 08823-1816 | 2020-01-19 |
| 1427572395 | Whitney Lynn Lai | Counselor | 10001 West Grand Avenue, Franklin Park, IL 60131 | 2017-08-01 |
| 1104360999 | Genesis Padilla | Counselor | 3448 Lombard Street, Franklin Park, IL 60131-2010 | 2016-12-13 |
| 1952909673 | Samantha Garcia | Counselor | 10001 Grand Ave, Franklin Park, IL 60131-2563 | 2020-10-14 |
| 1730708140 | Mariah Cox | Counselor | 10001 Grand Ave, Franklin Park, IL 60131-2563 | 2020-04-15 |
| 1174168785 | Cynthia Evelin Alvarado | Counselor | 10200 Grand Ave, Franklin Park, IL 60131-3139 | 2019-11-07 |
| 1629612106 | Brian Cerny | Counselor | 10001 Grand Ave Ste 1, Franklin Park, IL 60131-2564 | 2019-10-29 |
| 1801439864 | Daisy Silva | Counselor | 10001 Grand Ave, Franklin Park, IL 60131-2563 | 2019-10-22 |
| 1477119576 | Kristin Fasshauer | Counselor | 10001 Grand Ave Ste 1, Franklin Park, IL 60131-2564 | 2019-05-14 |
| 1962975599 | Sophia Hong | Counselor | 10200 Grand Ave, Franklin Park, IL 60131-3139 | 2019-01-07 |
| Find all providers in FRANKLIN PARK | ||||
| City | FRANKLIN PARK |
| Zip Code | 60131 |
Please comment or provide details below to improve the information on MR. MICHAEL JACKSON.
| 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.