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NPI Code Detail

MEDICARE: OLIVIA JONES

MEDICARE:   OLIVIA  JONES
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
11041C0700XClinical Social Worker149.029064IL

General Provider Information

NPI Number : 1174409551
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA JONES
Provider Business Mailing Address
First Line : 4349 S ELLIS AVE APT 3
Second Line :
City : CHICAGO
State : IL
Zip : 60653-4762
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1525 E 55TH ST STE 301
Second Line :
City : CHICAGO
State : IL
Zip : 60615-5581
Country : US
Telephone Number : 773-493-3994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2025
Last Update Date : 08/12/2025

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Directions to “ OLIVIA JONES ” Practice Location

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