MEDICARE: MS. ARLENE C JACKSON RN, MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WA0400X	Addiction (Substance Use Disorder) Registered Nurse	041301090	IL
2	163WP0808X	Psychiatric/Mental Health Registered Nurse	041301090	IL
3	163WG0000X	General Practice Registered Nurse	041301090	IL

General Provider Information

NPI Number	:	1184577520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ARLENE C JACKSON RN, MBA

Provider Business Mailing Address
First Line	:	8959 S OGLESBY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-3048
Country	:	US
Telephone Number	:	773-817-3572
Fax Number	:

Provider Business Practice Location Address
First Line	:	8959 S OGLESBY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-3048
Country	:	US
Telephone Number	:	773-817-3572
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

Similar Medicare Providers

1811006463 — DR. EVAN R WHITBECK D.D.S.
Practice Location Address:

3001 GREEN BAY RD
NORTH CHICAGO, IL
60064-3048

Practice Phone: 847-688-2100
Practice Fax:

1386640290 — DR. SHAKIRA IFE BROWN PHARMD
Practice Location Address:

3001 GREEN BAY RD
NORTH CHICAGO, IL
60064-3048

Practice Phone: 847-688-1900
Practice Fax:

1699775858 — ROBIN NICOLE HIEBER PHARMD
Practice Location Address:

3001 GREEN BAY RD , PHARMACY DEPARTMENT
NORTH CHICAGO, IL
60064-3048

Practice Phone: 816-898-6094
Practice Fax:

1972504454 — DR. GERALD M. FARBY M.D.
Practice Location Address:

3048 W PETERSON AVE
CHICAGO, IL
60659-3720

Practice Phone: 773-961-3200
Practice Fax:

1407842594 — DR. MARTIN BEERMANN M.D.
Practice Location Address:

3001 GREEN BAY RD
NORTH CHICAGO, IL
60064-3048

Practice Phone: 847-688-1900
Practice Fax:

1700874385 — ROSEMARY T TROTTA MS, RN, APRN-BC
Practice Location Address:

3001 GREEN BAY RD BLDG 9
NORTH CHICAGO, IL
60064-3048

Practice Phone: 224-610-3784
Practice Fax:

Directions to “ MS. ARLENE C JACKSON RN, MBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.