THEODORE B JEFFERSON

MOKENA, IL
NPI1568495091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  36-112824)
Enumeration Date2006-07-08
Last Update Date2023-03-07
Business Address
Dr. THEODORE B JEFFERSON M.D.
11043 QUAIL DR
MOKENA, IL 60448-8286
Phone number: 708-303-2789
Mailing Address
Dr. THEODORE B JEFFERSON M.D.
11043 QUAIL DR
MOKENA, IL 60448-8286
Phone number: 708-303-2789
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