| Eddie Jones, MD | |
|
400 South Kennedy Dr, Bradley, IL 60915 | |
| (815) 928-8050 | |
| (815) 928-9858 |
| Full Name | Eddie Jones |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 400 South Kennedy Dr, Bradley, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447268289 | NPI | - | NPPES |
| 36101624 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 036-101624 (Illinois) | Primary |
| Entity Name | Illinois Bone and Joint Institute, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Eddie Jones, MD 400 South Kennedy Dr, Bradley, IL 60915 Ph: (815) 928-8050 | Eddie Jones, MD 400 South Kennedy Dr, Bradley, IL 60915 Ph: (815) 928-8050 |
Rajeev Damian Puri, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 South Kennedy Dr, Bradley, IL 60915 Phone: 815-928-8050 Fax: 815-928-9858 |
Kermit S Muhammad, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 South Kennedy, Bradley, IL 60915 Phone: 815-928-8050 Fax: 815-928-8985 |
Michael John Corcoran, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 South Kennedy Dr, Bradley, IL 60915 Phone: 815-928-8050 Fax: 800-505-2218 |
Dr. Jalaal Shah, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 100, Bradley, IL 60915 Phone: 815-928-8050 |
Wesley Eugene Choy, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 400 S Kennedy Dr, Bradley, IL 60915 Phone: 815-928-8050 Fax: 800-505-2218 |
Dr. Milton John Smit, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 S Kennedy Dr, Bradley, IL 60915 Phone: 815-928-8060 Fax: 800-505-2218 |
Tomasz Taduesz Antkowiak, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr, Suite 100, Bradley, IL 60915 Phone: 815-928-8050 Fax: 800-505-2218 |