Healthcare Provider Details

I. General information

NPI: 1912830993
Provider Name (Legal Business Name): JASMINE BRIE TIMMESTER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 CLINTON PL STE 106
RIVER FOREST IL
60305-2248
US

IV. Provider business mailing address

1719 N FRANCISCO AVE APT 2
CHICAGO IL
60647-5665
US

V. Phone/Fax

Practice location:
  • Phone: 708-866-6766
  • Fax:
Mailing address:
  • Phone: 513-348-0852
  • 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: