MEDICARE: JUNE H 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
1	183700000X	Pharmacy Technician

General Provider Information

NPI Number	:	1487660577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNE H JONES

Provider Business Mailing Address
First Line	:	6753 S PERRY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60621-3713
Country	:	US
Telephone Number	:	773-488-4309
Fax Number	:	773-723-7828

Provider Business Practice Location Address
First Line	:	6905 S WENTWORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60621-3734
Country	:	US
Telephone Number	:	773-723-2500
Fax Number	:	773-723-7828

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/08/2007

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Directions to “ JUNE H JONES ” Practice Location

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