Individual
MR. ALEXANDER DAVID JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 S 5TH AVE BLDG 113, HINES, IL 60141-3030
(708) 202-2120
Mailing address
5000 S 5TH AVE BLDG 113, HINES, IL 60141-3030
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7078
ACVREP
—
Enumeration date
12/12/2017
Last updated
12/12/2017
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