Mallory Jones (NPI# 1285136382, PAC ID# 8022370394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1285136382 |
PAC ID by PECOS | 8022370394 |
Professional Enrollment ID | I20180326002119 |
Full Name | Mallory Jones |
Organization Legal Name | DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD |
Address |
2454 Lake Shore Dr Woodstock IL 60098-6911 |
Phone Number | 8474587546 |
Gender | F |
Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2017 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 7517288236 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2430 Esplanade Dr, Suite B, Algonquin, IL 60102-5500 | 8474587546 | DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD |
2454 Lake Shore Dr, Woodstock, IL 60098-6911 | 8474587546 | DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD |
Organization Legal Name | DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Vikram J Khanna | Dermatology | Dermatology Specialists of Illinois, Ltd | 2430 Esplanade Dr, Suite B, Algonquin, IL 60102-5500 |
Jenna M Raju | Physician Assistant | Dermatology Specialists of Illinois, Ltd | 2454 Lake Shore Dr, Woodstock, IL 60098-6911 |
Marianne Rao | Physician Assistant | Dermatology Specialists of Illinois, Ltd | 2430 Esplanade Dr, Suite B, Algonquin, IL 60102-5500 |
Street Address |
2454 LAKE SHORE DR |
City | WOODSTOCK |
State | IL |
Zip | 60098-6911 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jenna M Raju | Physician Assistant | Dermatology Specialists of Illinois, Ltd | 2454 Lake Shore Dr, Woodstock, IL 60098-6911 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alexis M Brow | Qualified Speech Language Pathologist | Independence Health and Therapy | 2028 N Seminary Ave, Woodstock, IL 60098-2626 |
Linda Holmes Strueber | Clinical Social Worker | Independence Health and Therapy | 2028 N Seminary Ave, Woodstock, IL 60098-2626 |
Jaclyn Kroeger | Clinical Social Worker | Independence Health and Therapy | 2028 N Seminary Ave, Woodstock, IL 60098-2626 |
Denise J Aylesworth | Physical Therapy | Independence Health and Therapy | 2028 N Seminary Ave, Woodstock, IL 60098-2626 |
Maurine L Kaskel | Clinical Social Worker | Family Alliance, Inc | 2028 N Seminary Ave, Woodstock, IL 60098-2626 |
Kelly N Vinehout | Psychologist, Clinical | 645 Mchenry Ave, Woodstock, IL 60098-2922 | |
Chris Allin | Chiropractic | 1400 N Seminary Ave, Suite K, Woodstock, IL 60098-2980 | |
Lucinda J Hovi | Chiropractic | Hovi Clinic of Chiropractic, PC | 1400 N Seminary Ave K, Woodstock, IL 60098-2980 |
Diane M Sunderlage | Chiropractic | 1114 N Seminary Ave, Sunderlage Chiropractic Ctr, Woodstock, IL 60098-2999 | |
Brandi Kristen Boan | Psychologist, Clinical | Mathers Clinic LLC | 715 W Judd St, Woodstock, IL 60098-3186 |
Find all physicians in zip 60098 |
City | WOODSTOCK |
Zip Code | 60098 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | WOODSTOCK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mallory Jones.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.