IndividualActive
Gabrielle Jackson
NPI 1073339149 · Health & Wellness Coach · Chicago, IL
Provider details
- NPI number
- 1073339149
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 13109123 (IL)
Specialties & taxonomies
Other Service Providers
Practice location
2706 N Halsted St Ste B
Chicago, IL 60614-1414
Phone: (708) 808-6592
Approximate (ZIP-level) locationGet directions
Mailing address
7324 S Laflin St # 1s
Chicago, IL 60636-4020
Registry dates
- Enumerated
- 2024-11-23
- Last updated
- 2024-11-23
- Certified
- 2024-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.