Gretchen Jackson

Developmental Therapist · Glenwood, IL

Individual Active NPI

NPI number 1336067321

Practice location

120 S Rebecca St
Glenwood, IL 60425-1622
Phone
(708) 655-1932

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NPI record

NPI
1336067321
Entity type
Individual (Type 1)
Enumeration date
July 7, 2026
Last updated
July 7, 2026
Certified
July 7, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — —

About Gretchen Jackson

Gretchen Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 120 S Rebecca St, Glenwood, IL 60425-1622. The NPI number 1336067321 was assigned on July 7, 2026 and the record was last updated on July 7, 2026.

Frequently asked questions

What is the NPI number of Gretchen Jackson?

The NPI number is 1336067321.

What is the phone number of Gretchen Jackson?

The phone number listed for the practice location is (708) 655-1932.

Where is Gretchen Jackson located?

120 S Rebecca St, Glenwood, IL 60425-1622.

What is the taxonomy code for Gretchen Jackson?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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