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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Beauty, Fyne, & Fitness Current
since Dec 22, 2024
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)CodeLicenseStatePrimary
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

Other providers in Richton Park, IL

All providers in Richton Park, IL · Prosthetics Case Management in Illinois

Sources for this page

Verify at the official NPI Registry.