MEDICARE: ANNGELL JONES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	036-109273	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003876939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNGELL JONES MD

Provider Business Mailing Address
First Line	:	1275 GOLF VIEW DR
Second Line	:
City	:	WOODRIDGE
State	:	IL
Zip	:	60517-7706
Country	:	US
Telephone Number	:	773-914-4743
Fax Number	:

Provider Business Practice Location Address
First Line	:	2653 W OGDEN AVE FL 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-1647
Country	:	US
Telephone Number	:	773-257-6701
Fax Number	:	773-257-6226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	11/06/2025

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