Healthcare Provider Details

I. General information

NPI: 1861316705
Provider Name (Legal Business Name): BRITTANY JONES-ELAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8034 S YALE AVE
CHICAGO IL
60620-1756
US

IV. Provider business mailing address

8034 S YALE AVE
CHICAGO IL
60620-1756
US

V. Phone/Fax

Practice location:
  • Phone: 773-915-5559
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number227.023236
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: