DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JONATHAN PATRICK BOOTEN

MEDICARE: JONATHAN PATRICK BOOTEN
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
1104100000XSocial WorkerIL

General Provider Information

NPI Number : 1942168687
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN PATRICK BOOTEN
Provider Business Mailing Address
First Line : 6203 21ST ST # 10
Second Line :
City : BERWYN
State : IL
Zip : 60402-5069
Country : US
Telephone Number : 630-966-4000
Fax Number :
Provider Business Practice Location Address
First Line : 309 NEW INDIAN TRAIL CT
Second Line :
City : AURORA
State : IL
Zip : 60506-2411
Country : US
Telephone Number : 630-966-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

Similar Medicare Providers

1659221539 — NATHAN WILLIAM BURNS
Practice Location Address:
309 NEW INDIAN TRAIL CT
AURORA, IL
60506-2411
Practice Phone: 630-966-4000
Practice Fax:
1457168403 — KATELYN KOWALSKI
Practice Location Address:
309 NEW INDIAN TRAIL CT
AURORA, IL
60506-2411
Practice Phone: 630-966-4000
Practice Fax:
1932067667 — LUCILLE WURST
Practice Location Address:
309 NEW INDIAN TRAIL CT
AURORA, IL
60506-2411
Practice Phone: 630-966-4000
Practice Fax:
1780542423 — KRISTIAN LEE ZAMORA
Practice Location Address:
309 NEW INDIAN TRAIL CT
AURORA, IL
60506-2411
Practice Phone: 877-243-0001
Practice Fax:
1962773622 — MRS. DANIELLE DAWN LA HA M.A.
Practice Location Address:
309 NEW INDIAN TRAIL CT
AURORA, IL
60506-2411
Practice Phone: 630-966-4000
Practice Fax:
1124465224 — MRS. REBECCA HEEMAN-MOORE
Practice Location Address:
309 NEW INDIAN TRAIL CT
AURORA, IL
60506-2411
Practice Phone: 815-391-3379
Practice Fax:

Directions to “ JONATHAN PATRICK BOOTEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.