Provider Demographics
NPI:1427371020
Name:JONES, MAUREEN T (PT)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:T
Last Name:JONES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9789 CAMBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-7723
Mailing Address - Country:US
Mailing Address - Phone:708-906-7565
Mailing Address - Fax:708-995-5679
Practice Address - Street 1:9789 CAMBRIDGE CIR
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-7723
Practice Address - Country:US
Practice Address - Phone:708-906-7565
Practice Address - Fax:708-995-5679
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070005188225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist