Jayne Phetthongsy

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043104673 Issued in IL

Practice address

4885 Hoffman Blvd Ste 100
Hoffman Estates, IL 60192-3727

Phone

(847) 645-1443

Fax

(708) 202-5456

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jayne Domingo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1043123250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 HOFFMAN BLVD STE 100",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923727",
            "telephone_number": "847-645-1443",
            "fax_number": "708-202-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 HOFFMAN BLVD STE 100",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923727",
            "telephone_number": "847-645-1443",
            "fax_number": "708-202-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHETTHONGSY",
        "first_name": "JAYNE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043104673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYNE",
            "last_name": "DOMINGO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jori Grace Marilyn Petrone
• Lisa Marie Petrongelli, PSY.D, APRN-BC, FPA
• Katelyn Nicole Pfaffinger, D.C.
• Carol L. Pfeifer, RN APN
• Caitlin Pfeil
• Nathaley Rose Philemy
• Sheetal Elizabeth Philip, M.D.
• Brianna Phillips
• Lily Phouikham, D.O.
• Physicians Just for Women, LTD.

• Licensed Practical Nurse in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.