Individual
GRETCHEN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
21W021 PAR LN, ITASCA, IL 60143-2487
(630) 220-4122
(888) 445-1991
Mailing address
21W021 PAR LN, ITASCA, IL 60143-2487
(630) 220-4122
(888) 445-1991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-002030
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH8564
RURAL HEALTH ID#
IL
Enumeration date
09/21/2006
Last updated
07/27/2021
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