Search › Illinois › 1041C0700X
Shana Jackson, LCSW
NPI 1225316581 · on the registry since 2011 · sole proprietor
Practice
- Address
- 401 N Michigan Ave
Chicago, IL 60611 - Phone
- (312) 798-9212
- Fax
- (844) 246-6796
- Organisation at this address
- Sliiip Llc
Radial Health Sc
Ova Institute Llc
4d Healthware, Llc
Empowered Hearts LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Additional practice sites
- 3551 Roger Brooke Dr, Fort Sam Houston, TX
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
1041C0700X
1041C0700X - Licence states on file
- FL, MI, CA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois