Healthcare Provider Details

I. General information

NPI: 1447162037
Provider Name (Legal Business Name): LAVERNE E JONES CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2536 W MARQUETTE RD APT 3W
CHICAGO IL
60629-1856
US

IV. Provider business mailing address

2536 W MARQUETTE RD
CHICAGO IL
60629-1856
US

V. Phone/Fax

Practice location:
  • Phone: 872-300-5729
  • Fax:
Mailing address:
  • Phone: 872-300-5729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: