Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 0383446 | IL |
NPI | 1366444853 |
---|---|
Provider Name | Dr. Daniel M. Jones |
First Address | Bunker Hill, IL 62014-1518 |
Second Address | Bunker Hill, IL 62014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 28/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
038003446 | (05) | IL |
104138 | HEALTHLINK HMO (01) | IL |
104138 | HEALTHLINK PPO (01) | IL |
10643660 | CAQH (01) | IL |
187068 | PERSONAL CARE (01) | IL |
309971 | HEALTH PARTNERS (01) | IL |
350055010 | RR MEDICARE (01) | IL |
370984743 | CARE MANAGER RESCOURCE (01) | IL |
4400750 | UHC MIDWEST (01) | IL |
56580370984743 | BC/BS MO. (01) | IL |
59499 | GHP (01) | IL |
5982002 | BC/BS IL (01) | IL |
627807 | ACN (01) | IL |
627807 | UNITED HEALTH CARE (01) | IL |
7652516 | AETNA (01) | IL |
P00439500 | MEDICARE RAILROAD (01) | IL |
T36083 | (02) | IL |