Individual
BRIA MAXINE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7037 S STONY ISLAND AVE, CHICAGO, IL 60649-1905
(312) 996-2000
Mailing address
7037 S STONY ISLAND AVE, CHICAGO, IL 60649-1905
(312) 355-5590
(312) 355-5571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.17937
IL
Other
Enumeration date
04/08/2021
Last updated
10/01/2024
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