DR. THEODORE JEFFERSON, M.D.
Family Medicine
Active
Individual
NPI: 1568495091
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 36-112824 (IL) |
Frequently Asked Questions
NPI 1568495091 is the National Provider Identifier for DR. THEODORE JEFFERSON, M.D., a Family Medicine provider located in Mokena, IL. This NPI was enumerated on July 8, 2006.
DR. THEODORE JEFFERSON, M.D. practices at 11043 QUAIL DR, Mokena, IL 60448.
Quick Facts
- NPI
- 1568495091
- Type
- Individual
- Enumerated
- Jul 8, 2006
- Last Updated
- Mar 7, 2023
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