Healthcare Provider Details

I. General information

NPI: 1528529997
Provider Name (Legal Business Name): JASMINE FLOWERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 NEAL AVE
JOLIET IL
60433-2548
US

IV. Provider business mailing address

1456 SCHOENHERR AVE
BOLINGBROOK IL
60490-3215
US

V. Phone/Fax

Practice location:
  • Phone: 815-727-8670
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036.160498
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number036.160498
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: