Addison Jackson Jr. (NPI# 1821648668, PAC ID# 2567792690) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1821648668 |
| PAC ID by PECOS | 2567792690 |
| Professional Enrollment ID | I20191002002294 |
| Full Name | Addison Jackson Jr. |
| Organization Legal Name | OAK FOREST PSYCHOLOGICAL SERVICE |
| Address |
6502 Joliet Rd Countryside IL 60525-4682 |
| Phone Number | 7082158400 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6507762580 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6502 Joliet Rd, Countryside, IL 60525-4682 | 7082158400 | OAK FOREST PSYCHOLOGICAL SERVICE |
| Organization Legal Name | OAK FOREST PSYCHOLOGICAL SERVICE |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen I Nekolny-smith | Psychologist, Clinical | Oak Forest Psychological Service | 421 Doris Ave, Joliet, IL 60433-2569 |
| Edwin Johnson | Clinical Social Worker | Oak Forest Psychological Service | 6502 Joliet Rd, Countryside, IL 60525-4682 |
| Street Address |
6502 JOLIET RD |
| City | COUNTRYSIDE |
| State | IL |
| Zip | 60525-4682 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edwin Johnson | Clinical Social Worker | Oak Forest Psychological Service | 6502 Joliet Rd, Countryside, IL 60525-4682 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Sedory | Podiatry | 132 N Catherine Ave, La Grange, IL 60525-1828 | |
| James J Cannon | Anesthesiology | Dupage Valley Anesthesiologists, Ltd. | 120 N La Grange Rd, La Grange, IL 60525-2040 |
| Sasha M Demos | Anesthesiology | Dupage Valley Anesthesiologists, Ltd. | 120 N La Grange Rd, La Grange, IL 60525-2040 |
| John M Bockrath | Urology | United Shockwave Services Ltd | 120 N La Grange Rd, La Grange, IL 60525-2040 |
| Davis P Yang | Family Medicine | Gottlieb Community Health Services Corporation | 125 N La Grange Rd, La Grange, IL 60525-2041 |
| Eliza J Pierko | Internal Medicine | Gottlieb Community Health Services Corporation | 125 N La Grange Rd, La Grange, IL 60525-2041 |
| Kristin L Ross | Registered Dietitian Or Nutrition Professional | Vhs of Illinois Inc | 125 N La Grange Rd, La Grange, IL 60525-2041 |
| Carolyn Gordon | Registered Dietitian Or Nutrition Professional | Vhs of Illinois Inc | 125 N La Grange Rd, La Grange, IL 60525-2041 |
| Kathryn E Wirth | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 1 N La Grange Rd Unit, Ati Physical Therapy, Lagrange, IL 60525-2047 |
| Erin Scheiber | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 1 N La Grange Rd Unit, Ati Physical Therapy, Lagrange, IL 60525-2047 |
| Find all physicians in zip 60525 | |||
| City | COUNTRYSIDE |
| Zip Code | 60525 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | COUNTRYSIDE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Addison Jackson Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.