Healthcare Provider Details

I. General information

NPI: 1053256255
Provider Name (Legal Business Name): JANE HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 JACKSON AVE
RIVER FOREST IL
60305-1413
US

IV. Provider business mailing address

807 JACKSON AVE
RIVER FOREST IL
60305
US

V. Phone/Fax

Practice location:
  • Phone: 708-828-5416
  • Fax:
Mailing address:
  • Phone: 708-828-5416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MOLLY JANE DOWNEY
Title or Position: REGISTERED DIETITIAN
Credential: RD
Phone: 708-828-5416