Individual
MR. LARRY R JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 E CLARK ST, HARRISBURG, IL 62946
(618) 252-8625
(618) 252-2540
Mailing address
PO BOX 1105, INDIANAPOLIS, IN 46206-1105
(618) 252-8625
(618) 252-2540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036055993
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055993
—
IL
Enumeration date
01/26/2006
Last updated
01/23/2014
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