MEDICARE: JENNIFER L. JONES, M.D., LLC

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	207Q00000X	Family Medicine Physician		IL

General Provider Information

NPI Number	:	1750395059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JENNIFER L. JONES, M.D., LLC

Provider Business Mailing Address
First Line	:	1425 CEDAR WOOD CT
Second Line	:
City	:	MORRIS
State	:	IL
Zip	:	60450-2451
Country	:	US
Telephone Number	:	815-416-0388
Fax Number	:

Provider Business Practice Location Address
First Line	:	1499 LAKEWOOD DR
Second Line	:	UNIT C
City	:	MORRIS
State	:	IL
Zip	:	60450-1709
Country	:	US
Telephone Number	:	815-416-1300
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER L JONES
Credential	:	M.D.
Telephone Number	:	815-416-1300

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	12/08/2007

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