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Individual
DR. JAMES VINCENT JORDAN JR.
Active
Individual
DR. JAMES VINCENT JORDAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
036052392
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036052392
MEDICAL LICENSE NUMBER
IL
Enumeration date
08/01/2013
Last updated
08/01/2013
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