Jones, Jerry
Jones, Jerry is an sole proprietor health care provider with primary practice located at 137 N Oak Park Ave Suite 129, Oak Park IL 60301-1344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jones, Jerry can be contacted via phone (708) 434-5778.Contact Information
Primary practice address
137 N Oak Park Ave Suite 129
Oak Park IL 60301-1344
Phone: (708) 434-5778
Fax: (708) 434-5032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 30065 | Wisconsin |
Profile Details
| NPI number | 1669437638 |
|---|---|
| LBN Legal business name | Jones, Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Oct 28th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669437638 | NPPES |
| Wisconsin | MEDICAID | 31514300 |
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