JACKIE KAY HANNON DPT
NPI 1558276402
Physical Medicine & Rehabilitation in Waterloo, IL
About Jackie Kay Hannon Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE KAY HANNON DPT (NPI 1558276402) is an individual physical medicine & rehabilitation provider in Waterloo, Illinois, licensed in Illinois (070.026314) and active in the NPI registry since August 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jackie Hannon's NPI number?
The NPI number for Jackie Hannon is 1558276402. It was assigned to this individual provider in the NPPES registry on August 17, 2026.
Where is Jackie Hannon located?
Jackie Hannon practices at 706 Rogers St, Waterloo, IL 62298. The listed phone number is (618) 939-7761.
What is Jackie Hannon's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
When was this NPI record last updated?
The NPPES record for Jackie Hannon was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.