MEDICARE: BRITTANY M JONES DPM 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	213ES0103X	Foot & Ankle Surgery Podiatrist	135000635	IL

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

General Provider Information

NPI Number	:	1851841407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRITTANY M JONES DPM LLC

Provider Business Mailing Address
First Line	:	1703 POLARIS CIR
Second Line	:	SUITE 4
City	:	OTTAWA
State	:	IL
Zip	:	61350-1683
Country	:	US
Telephone Number	:	815-434-1900
Fax Number	:	815-434-0933

Provider Business Practice Location Address
First Line	:	1703 POLARIS CIR
Second Line	:	SUITE 4
City	:	OTTAWA
State	:	IL
Zip	:	61350-1683
Country	:	US
Telephone Number	:	815-434-1900
Fax Number	:	815-434-0933

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. BRITTANY M JONES
Credential	:	DMP
Telephone Number	:	815-434-1900

Provider Enumeration Date	:	10/06/2016
Last Update Date	:	10/06/2016

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