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Contact Information

TIARA L BRAZILL JONES
6041 W 63RD ST
CHICAGO, IL60638-4395
 Phone: 773-388-1600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health

163WC1500X
Indicates primary specialty

NPI Profile & details for TIARA L BRAZILL JONES · (Female)

NPI # 1407663180
Status Active
Credentials
Entity Individual
Enumeration date 12/16/2024
Last updated 12/16/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 041545418
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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