Velma Rose Jackson, is a
Counselor based in Dixmoor, Illinois. Velma Rose Jackson is licensed to practice in Illinois (license number ) and her current practice location is
14614 Seeley Ave, Dixmoor, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 510-6797.
NPI number for Velma Rose Jackson is 1710893953 and her current mailing address is 14614 Seeley Ave, Dixmoor, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710893953.
Healthcare Provider's Profile
| Full Name | Velma Rose Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 14614 Seeley Ave, Dixmoor, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710893953
- Provider Enumeration Date: 08/19/2026
- Last Update Date: 08/19/2026
Medical Identifiers
Medical identifiers for Velma Rose Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710893953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Velma Rose Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Velma Rose Jackson, 14614 Seeley Ave, Dixmoor, IL 60426-1052 Ph: (708) 510-6797 | Velma Rose Jackson, 14614 Seeley Ave, Dixmoor, IL 60426-1052 Ph: (708) 510-6797 |
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