SOPHIA TERESA JARDON
NPI 1538912100
Student in an Organized Health Care Education/Training Program in Olympia Fields, IL
About Sophia Teresa Jardon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA TERESA JARDON (NPI 1538912100) is an individual student in an organized health care education/training program in Olympia Fields, Illinois and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sophia Teresa Jardon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OLYMPIA FIELDS, IL 60461
OLYMPIA FIELDS, IL 60461
OLYMPIA FIELDS, IL 60461
OLYMPIA FIELDS, IL 60461
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 Sophia Jardon's NPI number?
The NPI number for Sophia Jardon is 1538912100. It was assigned to this individual provider in the NPPES registry on April 11, 2024.
Where is Sophia Jardon located?
Sophia Jardon practices at 20201 Crawford Ave, Olympia Fields, IL 60461. The listed phone number is (708) 747-4000.
What is Sophia Jardon's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sophia Jardon enrolled in Medicare?
Yes. Sophia Jardon is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sophia Jardon was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Sophia Teresa Jardon · NPI 1538912100
Student in an Organized Health Care Education/Training Program provider in Olympia Fields, Illinois. Individual provider, active in the CMS NPPES registry since April 11, 2024.
## Identity
- **NPI:** 1538912100 (Entity type: Individual)
- **Enumerated:** April 11, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 20201 CRAWFORD AVE, Olympia Fields, IL 60461-1010
- **Phone:** (708) 747-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1538912100) · Data from the CMS NPPES public registry.