Individual
DR. ROY E JONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 RIVERSIDE DR STE 2400, BOURBONNAIS, IL 60914-5068
(815) 935-4907
(815) 935-1723
Mailing address
300 RIVERSIDE DR STE 2400, BOURBONNAIS, IL 60914-5068
(815) 935-4907
(815) 935-1723
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036102006
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-3167726
GROUP TAX ID#
IL
05
—
36102006
—
IL
01
—
4632039
BC GROUP#
IL
Enumeration date
09/24/2006
Last updated
03/22/2021
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