Individual
JOSEPH M JONES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 283-5500
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
PENDING
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
209-018944
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041414578
STATE LICENSE
IL
Enumeration date
02/13/2019
Last updated
12/02/2024
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