Provider Demographics
NPI:1366444853
Name:JONES, DANIEL M (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:JONES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 W SANFORD ST
Mailing Address - Street 2:PO BOX 326
Mailing Address - City:BUNKER HILL
Mailing Address - State:IL
Mailing Address - Zip Code:62014-1518
Mailing Address - Country:US
Mailing Address - Phone:618-585-3359
Mailing Address - Fax:
Practice Address - Street 1:721 S WASHINGTON
Practice Address - Street 2:
Practice Address - City:BUNKER HILL
Practice Address - State:IL
Practice Address - Zip Code:62014
Practice Address - Country:US
Practice Address - Phone:618-585-3522
Practice Address - Fax:618-585-3523
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0383446111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00439500OtherMEDICARE RAILROAD
IL370984743OtherCARE MANAGER RESCOURCE
IL5982002OtherBC/BS IL
IL038003446Medicaid
IL10643660OtherCAQH
IL627807OtherACN
IL187068OtherPERSONAL CARE
IL59499OtherGHP
IL627807OtherUNITED HEALTH CARE
IL104138OtherHEALTHLINK HMO
IL4400750OtherUHC MIDWEST
IL56580370984743OtherBC/BS MO.
IL104138OtherHEALTHLINK PPO
IL350055010OtherRR MEDICARE
IL7652516OtherAETNA
IL309971OtherHEALTH PARTNERS
IL56580370984743OtherBC/BS MO.
IL59499OtherGHP