Healthcare Provider Details

I. General information

NPI: 1487586350
Provider Name (Legal Business Name): JESSICA HOUGH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 WASHINGTON ST
EVANSTON IL
60202-1557
US

IV. Provider business mailing address

1421 W SUMMERDALE AVE APT 3
CHICAGO IL
60640-8450
US

V. Phone/Fax

Practice location:
  • Phone: 847-701-5527
  • Fax:
Mailing address:
  • Phone: 917-509-7470
  • 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: