Healthcare Provider Details

I. General information

NPI: 1447184817
Provider Name (Legal Business Name): DEJANIRA N PEOPLES FS, ADV-T
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6440 S EVANS AVE APT 1
CHICAGO IL
60637-6170
US

IV. Provider business mailing address

6440 S EVANS AVE APT 1
CHICAGO IL
60637-6170
US

V. Phone/Fax

Practice location:
  • Phone: 312-678-9938
  • Fax:
Mailing address:
  • Phone: 312-678-9938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number100226
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: