Individual
ANTOINETTE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8200
(847) 360-7377
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8200
(847) 360-7377
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.090149
IL
164W00000X
Licensed Practical Nurse
303882-31
WI
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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