Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACKIE LOU ANDERSON
Active Sole ProprietorMRS. JACKIE LOU ANDERSON is a Developmental Therapist healthcare provider located in MACHESNEY PARK, Illinois. NPI 1295004406 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · MACHESNEY PARK, IL
Registration Details
- NPI Number
- 1295004406
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2011 (14.674721583107 yrs)
- Last Updated
- Dec 16, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 SHORELAND RDMACHESNEY PARK, IL, 611152833Browse IL providers · Browse ZIP 61115
- Phone
- 8156331173
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in MACHESNEY PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MARY KATHLEEN JAVUREK LEE | DT/DTH | 1366578692 |
| MRS. NOEL ELIZABETH RYALL | — | 1306455357 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.