Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Agnieszka Jackson

Individual provider Physical Therapist · NPI 1003924143

Agnieszka Jackson is a Physical Therapist in Private Practice in Bloomingdale, Illinois. Qualified in 1997, 29 years ago. Practices with Dupage Medical Group Ltd, a 1,328-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
29
Licensed in
IL
In the registry since
2006
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Practice location Address checks out

220 Springfield Dr Ste 300
Bloomingdale, IL 60108-2215
Phone: (630) 946-2354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-012498 (IL)

Record details

NPI number1003924143
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2006
Last updated in NPPESMay 26, 2023
Certification dateMay 26, 2023
Mailing addressPo Box 713260, Chicago, IL 60677-1260

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Dupage Medical Group Ltd — 1328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bloomingdale