Individual
JORDAN GIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 W NEVADA ST APT 4, URBANA, IL 61801-4078
(630) 636-1115
Mailing address
703 W NEVADA ST APT 4, URBANA, IL 61801-4078
(630) 636-1115
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.023774
IL
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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