Healthcare Provider Details

I. General information

NPI: 1366647760
Provider Name (Legal Business Name): ABIGAIL YAKEY JONES M.A., CCC-SLP, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E CHICAGO AVE BOX 142
CHICAGO IL
60611-2605
US

IV. Provider business mailing address

6741 N LOCKWOOD AVE
LINCOLNWOOD IL
60712-3106
US

V. Phone/Fax

Practice location:
  • Phone: 312-227-8228
  • Fax:
Mailing address:
  • Phone: 317-919-8946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number242000530
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-127985
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: