Individual
JACK MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4020 E NEW YORK ST, AURORA, IL 60504-4416
(331) 301-5590
Mailing address
811 MORAN ST, JOLIET, IL 60435-4534
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005543
IL
Other
Enumeration date
04/07/2023
Last updated
11/04/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us