Individual
DR. DAVID ANTHONY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1770 E LAKE SHORE DR, SUITE 305, DECATUR, IL 62521-3832
(217) 424-9193
(217) 424-9195
Mailing address
1770 E LAKE SHORE DR, SUITE 305, DECATUR, IL 62521-3836
(217) 424-9193
(217) 424-9195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036096191
IL
Other
Enumeration date
08/19/2005
Last updated
06/17/2015
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