Individual
JAMILA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7845 S CORNELL AVE, CHICAGO, IL 60649-4907
(773) 364-0044
Mailing address
PO BOX 439041, CHICAGO, IL 60643-9041
(773) 364-0044
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1744P3200X
PHOENIX RISING HAIR LOSS REPLACEMENT SERVICES
IL
Enumeration date
11/15/2016
Last updated
11/15/2016
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