Search › Illinois › 224Z00000X

Jack Ma

NPI 1538854252 · on the registry since 2023 · sole proprietor

Practice

Address
4020 E New York St
Aurora, IL 60504
Phone
(331) 301-5590
Organisation at this address
Ih Fox Valley Opco, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois