Jonas, Roy E

Jonas, Roy E is an individual health care provider with primary practice located at 300 Riverside Dr Ste 2400 , Bourbonnais IL 60914-5068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jonas, Roy E can be contacted via phone (815) 935-4907.

Contact Information

Primary practice address
300 Riverside Dr Ste 2400 Bourbonnais IL 60914-5068
Phone: (815) 935-4907
Fax: (815) 935-1723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036102006 Illinois

Profile Details

NPI number 1760582316
LBN Legal business name Jonas, Roy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Mar 22nd, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760582316 NPPES
Illinois Other 36-3167726 GROUP TAX ID#
Illinois Other 4632039 GROUP TAX ID#
Illinois MEDICAID 36102006 GROUP TAX ID#

Popular Providers