MEDICARE: JESSICA HOUGH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1487586350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA HOUGH

Provider Business Mailing Address
First Line	:	1421 W SUMMERDALE AVE APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-8450
Country	:	US
Telephone Number	:	917-509-7470
Fax Number	:

Provider Business Practice Location Address
First Line	:	2223 WASHINGTON ST
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60202-1557
Country	:	US
Telephone Number	:	847-701-5527
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ JESSICA HOUGH ” Practice Location

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