Provider Demographics
NPI:1649439662
Name:JONAS, HELEN ANN (MA)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:ANN
Last Name:JONAS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 N HARLEM AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1205
Mailing Address - Country:US
Mailing Address - Phone:708-383-3405
Mailing Address - Fax:708-383-3406
Practice Address - Street 1:1515 N HARLEM AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302
Practice Address - Country:US
Practice Address - Phone:708-383-3405
Practice Address - Fax:708-383-3406
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1633920OtherBCBS