Healthcare Provider Details

I. General information

NPI: 1043132137
Provider Name (Legal Business Name): JAYME RICHARDS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 W OAKTON ST
ARLINGTON HEIGHTS IL
60004-4628
US

IV. Provider business mailing address

518 W OAKTON ST
ARLINGTON HEIGHTS IL
60004-4628
US

V. Phone/Fax

Practice location:
  • Phone: 847-962-1745
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: