Dr. Theodore B Jefferson, MD
Dr. Theodore B Jefferson, MD is a Family Medicine Physician in Mokena, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
11043 Quail DrMokena, IL 60448-8286
Phone: (708) 303-2789
Fax: (708) 300-4772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 36-112824 (IL) |
|---|
Record details
| NPI number | 1568495091 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 8, 2006 |
| Last updated in NPPES | March 7, 2023 |
| Certification date | May 23, 2022 |
| Mailing address | 11043 Quail Dr, Mokena, IL 60448-8286 |
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