Individual
MISS CLEOTHA AISHA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
777 PARK AVE W, HIGHLAND PARK, IL 60035-2497
(847) 432-8000
Mailing address
777 PARK AVE W, HIGHLAND PARK, IL 60035-2497
(708) 860-4050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.025748
IL
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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