Provider Demographics
NPI:1780848911
Name:JONES, BRITTANY MARIE (DPM)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:BRITTANY
Other - Middle Name:MARIE
Other - Last Name:CROWHURST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:1703 POLARIS CIR
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:IL
Mailing Address - Zip Code:61350-1683
Mailing Address - Country:US
Mailing Address - Phone:815-434-1900
Mailing Address - Fax:815-434-0933
Practice Address - Street 1:1703 POLARIS CIR
Practice Address - Street 2:SUITE 4
Practice Address - City:OTTAWA
Practice Address - State:IL
Practice Address - Zip Code:61350-1683
Practice Address - Country:US
Practice Address - Phone:815-434-1900
Practice Address - Fax:815-434-0933
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL135000635213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery