Individual
JANICE K JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1801 WINDSOR RD, CHAMPAIGN, IL 61822-6217
(217) 366-1200
(217) 366-6106
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1200
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-003075
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-003075
ILLINOIS LICENSE
IL
01
—
279500
MEDICARE GROUP
—
01
—
P00440963
RAILROAD MEDICARE
—
Enumeration date
10/29/2007
Last updated
09/25/2008
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