Provider Demographics
NPI:1952437477
Name:JONES, GEOFFREY LEROY (MD)
Entity type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:LEROY
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WESTBROOK CORP CTR
Mailing Address - Street 2:STE 905
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-5400
Mailing Address - Country:US
Mailing Address - Phone:630-734-8888
Mailing Address - Fax:630-368-0826
Practice Address - Street 1:120 OAKBROOK CTR
Practice Address - Street 2:SUITE 308
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1806
Practice Address - Country:US
Practice Address - Phone:630-734-8888
Practice Address - Fax:630-368-0826
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-070455208D00000X
IL208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice