Healthcare Provider Details

I. General information

NPI: 1023938610
Provider Name (Legal Business Name): JASMYN STEELE MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 S RAND RD STE 211
LAKE ZURICH IL
60047-2307
US

IV. Provider business mailing address

1643 N ALPINE RD STE 104
ROCKFORD IL
61107-1464
US

V. Phone/Fax

Practice location:
  • Phone: 224-475-1223
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: