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JASON TACKETT, NP-C
NP-C
Nurse Practitioner
NPI: 1821304296IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
28164172A(IN)041188540(IL)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
209012575(IL)71003469A(IN)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2010
Contact & Hours
Via practice · 2 locations total
- Address
- 5841 S MARYLAND AVE
CHICAGO, IL 60637 - Phone
- (773) 702-2500
Quick Facts
- NPI
- 1821304296
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 4
- Locations
- 2
- Years in Practice
- 16
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