Search › Illinois › 101YS0200X
Jonathan Self
NPI 1649069816 · on the registry since 2025 · sole proprietor
Practice
- Address
- 640 2nd Ave
Dixon, IL 61021 - Phone
- (630) 770-8983
Registry record
- Primary taxonomy
- 101YS0200X
101YS0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois