Healthcare Provider Details

I. General information

NPI: 1437074689
Provider Name (Legal Business Name): JASMINE E JONES MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 E OGDEN AVE STE 201
NAPERVILLE IL
60563-8610
US

IV. Provider business mailing address

PO BOX 713260
CHICAGO IL
60677-1260
US

V. Phone/Fax

Practice location:
  • Phone: 630-286-5090
  • Fax: 630-348-3079
Mailing address:
  • Phone: 630-469-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number164.009256
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: