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DR. PETRINA JACKSON DC
NPI 1295377240
Chiropractor in Hazel Crest, IL

Active since October 10, 2019
17516 E CARRIAGEWAY DR STE B, HAZEL CREST, IL 60429(708) 260-6699(708) 914-4393 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2023, Apr 27, 2022, Nov 6, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Petrina Jackson Dc NPPES

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

DR. PETRINA JACKSON DC (NPI 1295377240) is an individual chiropractor in Hazel Crest, Illinois, licensed in Illinois (038.013330) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1295377240
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. PETRINA JACKSONCredential: DC
Location Address17516 E CARRIAGEWAY DR STE BHazel Crest, IL 60429-2079
Mailing Address17516 E Carriageway Dr Ste BHazel Crest, IL 60429-2079 · (708) 914-4445 · Fax (708) 260-6699
Phone(708) 260-6699
Fax(708) 914-4393
Sole ProprietorNo
Enumeration DateOctober 10, 2019
Last NPPES UpdateJanuary 5, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1295377240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.013330
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
17516 E CARRIAGEWAY DR STE B, Hazel Crest, IL 60429
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TREE OF HEALTH AND WELLNESS
Chiropractor
17516 E CARRIAGEWAY DR STE B
HAZEL CREST, IL 60429
Cook County (708) 914-4445
BETHMIA FOUNDATION
Nurse Practitioner (Psychiatric/Mental Health)
17516 E CARRIAGEWAY DR STE B
HAZEL CREST, IL 60429
Cook County (630) 849-8787
TRIO CHIROPRACTIC AND WELLNESS CENTER SC
Chiropractor
17516 E CARRIAGEWAY DR STE B
HAZEL CREST, IL 60429
Cook County (708) 914-4445

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 Petrina Jackson's NPI number?

The NPI number for Petrina Jackson is 1295377240. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Petrina Jackson located?

Petrina Jackson practices at 17516 E Carriageway Dr Ste B, Hazel Crest, IL 60429. The listed phone number is (708) 260-6699.

What is Petrina Jackson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Petrina Jackson accept?

Health plans from Providence Health Plan list Petrina Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Petrina Jackson was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.