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

Mrs. Leslie L Jackson, MED, OT/L, FAOTA

Individual provider Occupational Therapist · NPI 1861753048

Mrs. Leslie L Jackson, MED, OT/L, FAOTA is an Occupational Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

9501 S King Dr Dh 132
Chicago, IL 60628-1501
Phone: (773) 995-2368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 056.000012 (IL)
Occupational Therapist Taxonomy 225X00000X · Licence 056.000012 (IL)

Record details

NPI number1861753048
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , OT/L , FAOTA
Sole proprietorNo
NPI enumeratedJune 4, 2012
Last updated in NPPESJune 4, 2012

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