Healthcare Provider Details

I. General information

NPI: 1467834564
Provider Name (Legal Business Name): CATHY JACKSON SHARPER CLARITY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19900 GOVERNORS DR STE 300F
OLYMPIA FIELDS IL
60461-1059
US

IV. Provider business mailing address

19900 GOVERNORS DR STE 300F
OLYMPIA FIELDS IL
60461-1059
US

V. Phone/Fax

Practice location:
  • Phone: 708-966-6091
  • Fax: 708-585-6222
Mailing address:
  • Phone: 708-966-6091
  • Fax: 708-585-6222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number180006774
License Number StateIL

VIII. Authorized Official

Name: MS. CATHY GAIL JACKSON
Title or Position: CLINICAL THERAPIST
Credential: LCPC
Phone: 708-966-6091