Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE B JEFFERSON, M.D.
ActiveDR. THEODORE B JEFFERSON, M.D. is a Family Medicine healthcare provider located in MOKENA, Illinois. NPI 1568495091 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MOKENA, IL
Registration Details
- NPI Number
- 1568495091
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2006 (19.917647420047 yrs)
- Last Updated
- Mar 7, 2023
- License
-
36-112824 (IL)
Practice Information
- Address
-
11043 QUAIL DRMOKENA, IL, 604488286Browse IL providers · Browse ZIP 60448
- Phone
- 7083032789
- Fax
- 7083004772
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MOKENA, IL
| Name | Credential | NPI |
|---|---|---|
| MICHELE A DANAHER | MD | 1679561773 |
| DR. ROSEMARY MCGRATH | MD | 1710947148 |
| DR. SITAL BHARGAVA | DO | 1093766420 |
| JILL A PATTERSON | MD | 1083642557 |
| DR. JOSEPH P PRIEBOY | DO | 1104841204 |
| DR. ALBERT B PORONSKY | D.O. | 1760405666 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.