Provider Demographics
NPI:1437128089
Name:JONES, COURTNEY (MS, ATC, CSCS)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 W. BUENA AVE.
Mailing Address - Street 2:#1906
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613
Mailing Address - Country:US
Mailing Address - Phone:773-665-2023
Mailing Address - Fax:
Practice Address - Street 1:1501 CENTRAL ST.
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60208
Practice Address - Country:US
Practice Address - Phone:847-491-8863
Practice Address - Fax:847-491-8865
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer