Individual
DR. PAUL JOHN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 W HARRISON ST, SUITE 550, CHICAGO, IL 60612-4861
(312) 942-6100
(312) 942-6225
Mailing address
2160 S 1ST AVE, SUITE 550, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036069104
IL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
036069104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069104
—
IL
Enumeration date
07/20/2005
Last updated
04/12/2021
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