| Doctor Name: | DR. JON ERIC STANDLEY |
| NPI Number: | 1821286121 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O |
| License Number: | 02003286A |
| Business Practice Address: | 180 S 3rd St Suite 400 Belleville, IL - 622201952 |
| Business Phone Number: | 6182337880 |
| Business Fax Number: | 6182224792 |
| Mailing Address: | 1213 Usher Dr, O FALLON |
| State: | IL |
| Postal Code: | 622693558 |
| Phone Number: | 8179138000 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2007 |
| NPI Last Update Date: | 06/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 02003286A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |