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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JAYNE PHETTHONGSY
NPI 1043123250
Licensed Practical Nurse in Hoffman Estates, IL

Active since September 28, 2026
4885 HOFFMAN BLVD STE 100, HOFFMAN ESTATES, IL 60192(847) 645-1443(708) 202-5456 Get Directions Write a Review

NPPES record added: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jayne Phetthongsy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAYNE PHETTHONGSY (NPI 1043123250) is an individual licensed practical nurse in Hoffman Estates, Illinois, licensed in Illinois (043104673) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1043123250
Entity TypeIndividual
Primary Taxonomy164W00000X
Provider Legal NameJAYNE PHETTHONGSY
Location Address4885 HOFFMAN BLVD STE 100Hoffman Estates, IL 60192-3727
Mailing Address4885 Hoffman Blvd Ste 100Hoffman Estates, IL 60192-3727 · (847) 645-1443 · Fax (708) 202-5456
Phone(847) 645-1443
Fax(708) 202-5456
Sole ProprietorNo
Enumeration DateSeptember 28, 2026
NPPES CertifiedSeptember 28, 2026
✔ NPI 1043123250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043104673
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4885 HOFFMAN BLVD STE 100, Hoffman Estates, IL 60192
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Other Names 1

Former Name (1)Jayne Domingo

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE TILTZ RN
Registered Nurse (Ambulatory Care)
4885 HOFFMAN BLVD STE 100
HOFFMAN ESTATES, IL 60192
Cook County (708) 979-7824
JULIA A MCNAUGHT
Licensed Practical Nurse
4885 HOFFMAN BLVD STE 100
HOFFMAN ESTATES, IL 60192
Cook County (847) 645-1443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jayne Phetthongsy's NPI number?

The NPI number for Jayne Phetthongsy is 1043123250. It was assigned to this individual provider in the NPPES registry on September 28, 2026. The provider is also known as Jayne Domingo.

Where is Jayne Phetthongsy located?

Jayne Phetthongsy practices at 4885 Hoffman Blvd Ste 100, Hoffman Estates, IL 60192. The listed phone number is (847) 645-1443.

What is Jayne Phetthongsy's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jayne Phetthongsy was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.