Dorothy M Jones MD Chartered

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036084495 Issued in IL

Legal business name

DOROTHY M JONES MD CHARTERED

Practice address

1600 167TH St
Ste 750
Calumet City, IL 60409-5457

Phone

(708) 862-8852

Fax

(708) 862-8847

NPI assigned

Nov 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dorothy M Jones, M.D.

Title

President

Phone

(708) 862-8852

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1174777007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 167TH ST",
            "address_2": "STE 750",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095457",
            "telephone_number": "708-862-8852",
            "fax_number": "708-862-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 167TH ST",
            "address_2": "STE 750",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095457",
            "telephone_number": "708-862-8852",
            "fax_number": "708-862-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHY M JONES MD CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-862-8852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036084495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084495",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.