Provider Demographics
NPI:1114665742
Name:FOSTER, JASMINE (ND)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11933 S PULASKI RD
Mailing Address - Street 2:
Mailing Address - City:ALSIP
Mailing Address - State:IL
Mailing Address - Zip Code:60803-1100
Mailing Address - Country:US
Mailing Address - Phone:708-396-2500
Mailing Address - Fax:
Practice Address - Street 1:11933 S PULASKI RD
Practice Address - Street 2:
Practice Address - City:ALSIP
Practice Address - State:IL
Practice Address - Zip Code:60803-1100
Practice Address - Country:US
Practice Address - Phone:708-396-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty