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

Brian Jackson

Individual provider Occupational Therapist · NPI 1245629583

Brian Jackson is an Occupational Therapist in Private Practice in Gurnee, Illinois. Qualified in 2014, 12 years ago. Practices with Illinois Bone and Joint Institute, LLC, a 606-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2015
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Practice location Address checks out

1125 N Delany Rd
Gurnee, IL 60031-2007
Phone: (800) 974-4378
Fax: (630) 515-1536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10320 75th St Ste D, Kenosha, WI 53142-7525 — (800) 974-4378

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056010871 (IL)

Record details

NPI number1245629583
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 9, 2015
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022
Mailing address24014 W Renwick Rd Ste F, Plainfield, IL 60544-8708

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Illinois Bone And Joint Institute, Llc — 606 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gurnee