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TARA CHILDRESS-JACKSON SLPA
NPI 1093166373
Specialist/Technologist - Speech-Language Assistant in Evergreen Park, IL

Active since June 28, 2016
8819 S FAIRFIELD AVE, EVERGREEN PARK, IL 60805(312) 758-1463 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tara Childress-jackson Slpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA CHILDRESS-JACKSON SLPA (NPI 1093166373) is an individual speech-language assistant in Evergreen Park, Illinois, licensed in Illinois (217000240) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1093166373
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameTARA CHILDRESS-JACKSONCredential: SLPA
Location Address8819 S FAIRFIELD AVEEvergreen Park, IL 60805-1144
Mailing Address8819 S Fairfield AveEvergreen Park, IL 60805-1144 · (312) 758-1463
Phone(312) 758-1463
Sole ProprietorYes
Enumeration DateJune 28, 2016
✔ NPI 1093166373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in IL · 217000240
8819 S FAIRFIELD AVE, Evergreen Park, IL 60805
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Childress-jackson's NPI number?

The NPI number for Tara Childress-jackson is 1093166373. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Tara Childress-jackson located?

Tara Childress-jackson practices at 8819 S Fairfield Ave, Evergreen Park, IL 60805. The listed phone number is (312) 758-1463.

What is Tara Childress-jackson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Tara Childress-jackson was last updated on June 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.