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NPI Code Detail

MEDICARE: DR. KATHRYN JONES PSYD

MEDICARE: DR. KATHRYN JONES PSYD
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
1103TC0700XClinical Psychologist071.010553IL

General Provider Information

NPI Number : 1023596327
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHRYN JONES PSYD
Provider Business Mailing Address
First Line : 159 N SANGAMON ST STE 200
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2201
Country : US
Telephone Number : 312-549-8076
Fax Number :
Provider Business Practice Location Address
First Line : 159 N SANGAMON ST STE 200
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2201
Country : US
Telephone Number : 312-549-8076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2018
Last Update Date : 06/29/2022

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