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Individual
RYAN P JONES
Active
Individual
RYAN P JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P. T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012396
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039040224
IL BLUE CROSS BLUE SHIELD
IL
01
—
11581829
CAQH PROVIDER ID
—
01
—
33466443
TRICARE PROVIDER NUM
IL
01
—
P00205269
RAILROAD MEDICARE PIN NUM
IL
Enumeration date
01/15/2007
Last updated
11/02/2009
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