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Contact Information

JONATHAN E JUSKO, RN, PA-C
400 S KENNEDY DR
SUITE 100
BRADLEY, IL60915-2682
 Phone: 815-928-8060
 Fax: 800-505-2218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JONATHAN E JUSKO · (Male)

NPI Number 1558431783
Status Active
Credentials RN, PA-C
Entity Individual
Enumeration date 11/08/2006
Last updated 03/10/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085002855
  • IN License # 10000984A
  • IN License # 28154059A
  • IL Other 01618941 BLUECROSS/BLUESHIELD
Hospital affiliation(s)
  • RIVERSIDE MEDICAL CENTER - (Acute Care)
    350 N WALL ST
    KANKAKEE, IL 60901
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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