Individual
PAUL A JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9339 CALUMET AVE STE A, MUNSTER, IN 46321-2879
(708) 214-7190
Mailing address
9339 CALUMET AVE STE A, MUNSTER, IN 46321-2879
(708) 214-7190
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01062419A
IN
207RC0000X
Cardiovascular Disease Physician
036075923
IL
207RI0011X
Interventional Cardiology Physician
Primary
01062419A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036075923
—
IL
05
—
200398480
—
IN
Enumeration date
12/23/2005
Last updated
04/10/2024
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