Provider Demographics
NPI:1538456959
Name:JONES, EMILY E (PHARMD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:E
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17601 HALSTED ST
Mailing Address - Street 2:T-1460
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-2007
Mailing Address - Country:US
Mailing Address - Phone:708-335-5255
Mailing Address - Fax:708-335-5255
Practice Address - Street 1:17601 HALSTED ST
Practice Address - Street 2:T-1460
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-2007
Practice Address - Country:US
Practice Address - Phone:708-335-5255
Practice Address - Fax:708-335-5255
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051294358183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist