Healthcare Provider Details

I. General information

NPI: 1366275091
Provider Name (Legal Business Name): JASLYN RIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2024
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 KESLINGER RD
GENEVA IL
60134-4645
US

IV. Provider business mailing address

2700 KESLINGER RD
GENEVA IL
60134-4645
US

V. Phone/Fax

Practice location:
  • Phone: 630-457-0727
  • Fax:
Mailing address:
  • Phone: 815-200-8520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150129794
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: