Janel Tiffany Jones
Individual provider Active NPI Prosthetics Case Management · Richton Park, IL
NPI 1104663178 · NPPES record last updated Dec 21, 2024
Key facts
- NPI
- 1104663178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetics Case Management 1744P3200X
- Practice address
- 4137 Sauk TRL Ste 122
Richton Park, IL 60471-1253 - Phone
- (708) 232-8598
- NPI assigned
- Jul 9, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beauty, Fyne, & Fitness | Current |
Accepting new patients |
Locations
19710 Governors Hwy
Ste 5
Flossmoor, IL 60422
Phone (773) 551-5855
4137 Sauk Trl
Ste 122
Richton Park, IL 60471
Phone (708) 232-8598
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | |||
| Orthotic Fitter | 225000000X | |||
| Prosthetics Case Management | 1744P3200X | Yes |
Addresses
Primary practice location
4137 Sauk TRL Ste 122
Richton Park, IL 60471-1253
Mailing address
4137 Sauk TRL Ste 122
Richton Park, IL 60471-1253
Phone (708) 261-5561
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All providers in Richton Park, IL · Prosthetics Case Management in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.