Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295377240 Individual Practitioner Female Practitioner

Dr. Petrina Jackson , DC

Chiropractor • Hazel Crest, IL

Professional Overview & Biography Verified Profile Summary

Dr. Petrina Jackson, DC is a registered healthcare professional specializing in Chiropractor in Hazel Crest, IL. Practice services are available at 17516 E CARRIAGEWAY DR STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17516 E Carriageway Dr Ste B

Hazel Crest, IL 604292079

Telephone 7082606699
Fax 7089144393
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Hazel Crest, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Hazel Crest, IL (4730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-05
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IL 038.013330

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address January 05, 2023

Registered at 17516 E CARRIAGEWAY DR STE B, HAZEL CREST, IL 604292079 (Tel: 7089144445)

📍
Updated Practice Location April 27, 2022

Registered at 17516 E CARRIAGEWAY DR STE B, HAZEL CREST, IL 604292079 (Tel: 7082606699)

📍
Updated Practice Location November 06, 2020

Registered at 4143 SAUK TRL, RICHTON PARK, IL 604711253 (Tel: 8448362867)

📍
Updated Business Mailing Address November 06, 2020

Registered at 335 E GENEVA RD # 3042, CAROL STREAM, IL 601882438 (Tel: 6308039679)

NPI Profile Active October 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2019

Registered at 1283 W DUNDEE RD, BUFFALO GROVE, IL 600894009 (Tel: 8476329919)

📍
Updated Business Mailing Address October 10, 2019

Registered at 4319 CHESAPEAKE DR APT 2C, AURORA, IL 605047131 (Tel: 6308039679)

👤
Provider Name / Credentials Updated October 10, 2019

Recorded as PETRINA JACKSON, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2019

Chiropractor (License #038.013330 in IL)

🟢
Initial NPI Registration & Enumeration October 10, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295377240
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2019
Last Update: January 05, 2023
Sole Proprietor: No

Mailing Address

17516 E Carriageway Dr Ste B

Hazel Crest, IL 604292079

Phone: 7089144445

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.