Search › Illinois › 101YP2500X
Ethan Jones, MA
NPI 1942738208 · on the registry since 2017
Practice
- Address
- 802 N 8th St
Vandalia, IL 62471 - Phone
- (618) 283-1731
- Organisation at this address
- Ten Broeck Tennessee Physicians Group Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 600 E Main St, Salem, IL
- 1121 N 6th St, Vandalia, IL
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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