Jones, Jennifer L

Jones, Jennifer L is an individual health care provider with primary practice located at 1499 Lakewood Dr Ste C , Morris IL 60450-1740. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jones, Jennifer L can be contacted via phone (815) 416-1300.

Contact Information

Primary practice address
1499 Lakewood Dr Ste C Morris IL 60450-1740
Phone: (815) 416-1300
Fax: (815) 705-1741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036104180 Illinois

Profile Details

NPI number 1477510717
LBN Legal business name Jones, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Apr 28th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477510717 NPPES
Illinois MEDICAID 036104180

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