Active NPI
Gary R Jones, MD
- Reproductive Endocrinology Physician
- Gurnee, IL
National Provider Identifier
1699753152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 4301054590
- Practice address
- 30 Tower CT Ste F
Gurnee, IL 60031-3322 - Phone
- (847) 662-1818
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 4301054590 | MI | Primary |
Addresses
Primary practice location
30 Tower CT Ste F
Gurnee, IL 60031-3322
Mailing address
PO Box 673739
Detroit, MI 48267-3739
Phone (313) 299-6650
Other practice location 1
4920 N Central Ave Ste 2C
Chicago, IL 60630-2338
Phone (773) 794-1818
Other practice location 2
820 E Terra Cotta Ave Ste 118
Crystal Lake, IL 60014-3650
Phone (815) 356-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.141586 | Other | IL | IL MEDICAL LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- gjones101043@epic00.corewelldirect.org
- gjones248901@direct.hfhs.org
- gjones234459@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1699753152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 673739",
"city": "DETROIT",
"state": "MI",
"postal_code": "482673739",
"telephone_number": "313-299-6650",
"fax_number": "313-299-6651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 TOWER CT STE F",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313322",
"telephone_number": "847-662-1818"
}
],
"practiceLocations": [
{
"address_1": "4920 N Central Ave Ste 2C",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606302338",
"country_code": "US",
"telephone_number": "773-794-1818",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 E Terra Cotta Ave Ste 118",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600143650",
"country_code": "US",
"telephone_number": "815-356-1818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "GARY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MI",
"license": "4301054590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL MEDICAL LIC",
"identifier": "036.141586",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.