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Organization
UPTOWN DUI SERVICES
Active
Organization
UPTOWN DUI SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FITZGERALD JORDAN CADC, MISA I, DUI (DUI / TREATMENT PROVIDER)
(312) 451-5184
Entity
Organization
Contact information
Practice address
1525 E 53RD ST STE 411, CHICAGO, IL 60615-4530
(312) 451-5184
(708) 896-6580
Mailing address
1525 E 53RD ST STE 411, CHICAGO, IL 60615-4530
(312) 451-5184
(708) 896-6580
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
302F00000X
IL
Other
Enumeration date
10/16/2016
Last updated
10/16/2016
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