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1417183633

NPI Code Detail

MEDICARE: DR. WESLEY BLAKE JONES M.D.

MEDICARE: DR. WESLEY BLAKE JONES M.D.

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	207ZB0001X	Blood Banking & Transfusion Medicine Physician	036130363	IL
2	207ZB0001X	Blood Banking & Transfusion Medicine Physician	ME128023	FL
3	207ZB0001X	Blood Banking & Transfusion Medicine Physician	81350	GA
4	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	036130363	IL
5	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	81350	GA
6	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME128023	FL

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	:	1417183633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WESLEY BLAKE JONES M.D.

Provider Business Mailing Address
First Line	:	77 N AIRLITE ST
Second Line	:	DEPARTMENT OF PATHOLOGY
City	:	ELGIN
State	:	IL
Zip	:	60123-4912
Country	:	US
Telephone Number	:	847-695-3200
Fax Number	:	847-931-5778

Provider Business Practice Location Address
First Line	:	800 PRUDENTIAL DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8211
Country	:	US
Telephone Number	:	904-202-1041
Fax Number	:

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

Provider Enumeration Date	:	06/02/2009
Last Update Date	:	03/22/2025

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Directions to “ DR. WESLEY BLAKE JONES M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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