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

Mrs. Jackie Lou Anderson

Individual provider Developmental Therapist · NPI 1295004406

Mrs. Jackie Lou Anderson is a Developmental Therapist in Machesney Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

101 Shoreland Rd
Machesney Park, IL 61115-2833
Phone: (815) 633-1173
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (IL)

Record details

NPI number1295004406
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 16, 2011
Last updated in NPPESDecember 16, 2011

Other providers in Machesney Park