Individual
DR. JERRY JONES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
137 N OAK PARK AVE, SUITE 129, OAK PARK, IL 60301-1344
(708) 434-5778
(708) 434-5032
Mailing address
270 E HIGHLAND AVE, SUITE 424, MILWAUKEE, WI 53202-6635
(414) 807-5050
(708) 434-5032
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30065
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31514300
—
WI
Enumeration date
04/20/2006
Last updated
10/28/2014
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