Individual
TERRY L. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
819 COVENTRY PT, SPRINGFIELD, IL 62702-3366
(217) 787-9281
Mailing address
819 COVENTRY PT, SPRINGFIELD, IL 62702-3366
(217) 787-9281
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-065209
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065209
—
IL
Enumeration date
09/20/2006
Last updated
01/17/2025
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