Healthcare Provider Details

I. General information

NPI: 1619806643
Provider Name (Legal Business Name): JORDAN L SCOTT DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 COUNTY ROAD 2900 N
FISHER IL
61843-9754
US

IV. Provider business mailing address

158 COUNTY ROAD 2900 N
FISHER IL
61843-9754
US

V. Phone/Fax

Practice location:
  • Phone: 217-735-0415
  • Fax:
Mailing address:
  • Phone: 217-735-0415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: