=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730089376
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHAWNACIE JONES
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/07/2026
-----------------------------------------------------
Last Update Date | 11/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18214 RAVISLOE TER
-----------------------------------------------------
City | COUNTRY CLUB HILLS
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60478-5326
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-231-7431
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18214 RAVISLOE TER
-----------------------------------------------------
City | COUNTRY CLUB HILLS
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60478-5326
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374J00000X
-----------------------------------------------------
Taxonomy Name | Doula
-----------------------------------------------------
License Number | 111626
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------