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NPI Code Detail

MEDICARE: ANDREA D. JONES M.D.

MEDICARE:   ANDREA D. 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
1207V00000XObstetrics & Gynecology Physician036-107769IL

General Provider Information

NPI Number : 1861487423
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA D. JONES M.D.
Provider Business Mailing Address
First Line : 4901 W 79TH ST
Second Line : SUITE 10
City : BURBANK
State : IL
Zip : 60459-1554
Country : US
Telephone Number : 708-499-4100
Fax Number : 708-229-6078
Provider Business Practice Location Address
First Line : 4901 W 79TH ST
Second Line : SUITE 10
City : BURBANK
State : IL
Zip : 60459-1554
Country : US
Telephone Number : 708-499-4100
Fax Number : 708-229-6078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 03/17/2021

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Directions to “ ANDREA D. JONES M.D.” Practice Location

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