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Dr. Jonathan M Foss, MD
Diagnostic Radiology Physician in Normal, Illinois
NPI 1265471486

Jonathan M Foss is a Diagnostic Radiology Physician based in Normal, IL and is specialized in Diagnostic Radiology. Jonathan M Foss practices in Normal, IL and has the professional credentials of MD. The NPI Number for Jonathan M Foss is 1265471486 and holds a License No. ME161552 (Illinois).

The current practice location address for Jonathan M Foss is 2200 Fort Jesse Rd, Normal, IL and can be reached out via phone at 309-452-1788.

Location: 2200 Fort Jesse Rd, Normal, IL, 61761-6286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265471486
Provider Name
Jonathan M Foss
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2200 Fort Jesse Rd, Normal, IL, 61761-6286
Phone Number
309-452-1788
Fax Number
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036085058*2 05 IL
institution
Provider Business Practice Location Address Details
Address
2200 Fort Jesse Rd
City
Normal
State
Illinois
Zip
61761-6286
Phone Number
309-452-1788
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Fort Jesse Rd
City
Normal
State
Illinois
Zip
61761-6286
Phone Number
309-452-1788
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME161552 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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