Healthcare Provider Details

I. General information

NPI: 1851223598
Provider Name (Legal Business Name): JAMIE SPOTTS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE SPOTTS

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 LEXINGTON DR
HOFFMAN ESTATES IL
60192-1861
US

IV. Provider business mailing address

3955 LEXINGTON DR
HOFFMAN ESTATES IL
60192-1861
US

V. Phone/Fax

Practice location:
  • Phone: 262-483-0866
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149030962
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: