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

Jack MA

Individual provider Occupational Therapy Assistant · NPI 1538854252

Jack MA is an Occupational Therapy Assistant in Aurora, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
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Practice location Address checks out

4020 E New York St
Aurora, IL 60504-4416
Phone: (331) 301-5590
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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 057.005543 (IL)

Record details

NPI number1538854252
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2023
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address811 Moran St, Joliet, IL 60435-4534

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