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

Individual provider Occupational Therapy Assistant · NPI 1679168611

Antoinette Jackson is an Occupational Therapy Assistant in Oak Park, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
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Practice location Address checks out

6909 N Ave
Oak Park, IL 60302-1008
Phone: (708) 386-1112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057003957 (IL)

Record details

NPI number1679168611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2021
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021
Mailing address6909 North Ave, Oak Park, IL 60302-1008

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