MEDICARE: MICHELLE LIN JONES RN

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	163WX0200X	Oncology Registered Nurse	041439012	IL

General Provider Information

NPI Number	:	1639025539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE LIN JONES RN

Provider Business Mailing Address
First Line	:	448 MAYFIELD LN
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-3288
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 WARRENVILLE RD
Second Line	:
City	:	LISLE
State	:	IL
Zip	:	60532-1348
Country	:	US
Telephone Number	:	630-432-6643
Fax Number	:

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

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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