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NPI 1962218826

IndividualActive

Iyanna Jackson, AADP

NPI 1962218826 · Naturopath · Chicago, IL

Provider details

NPI number: 1962218826
Entity type: Individual
Primary specialty: NaturopathOther Service Providers
Credential: AADP
Sex: Female
Sole proprietor: Yes

Practice location

125 E 103rd St

Chicago, IL 60628-2713

Phone: (312) 554-9177

More IL providers

Mailing address

125 E 103rd St

Chicago, IL 60628-2713

Registry dates

Enumerated: 2024-12-05
Last updated: 2025-04-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Iyanna Jackson, AADP — NPI 1962218826, Chicago, IL | NPI Central