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Individual

GRACE F JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
840 S WOOD ST STE 417, CHICAGO, IL 60612-4325
(312) 996-4942
Mailing address
840 S WOOD ST STE 417, CHICAGO, IL 60612-4325
(312) 996-4942

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
085007542
IL

Other

Enumeration date
06/26/2020
Last updated
08/20/2021
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