Individual
DANIEL PHILIP JONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
259 E ERIE ST FL 13, CHICAGO, IL 60611-3926
(312) 695-6800
(312) 472-4888
Mailing address
259 E ERIE ST FL 13, CHICAGO, IL 60611-3926
(312) 695-6800
(312) 472-4888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005585
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN - GROUP
IL
01
—
F400238022
MEDICARE PTAN - INDIVIDUAL
IL
Enumeration date
07/07/2015
Last updated
10/10/2024
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