Organization
ROSEGARDEN MEDICAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JORDAN MD (PRESIDENT)
(773) 995-3463
Entity
Organization
Contact information
Practice address
134 W 111TH ST, 2ND FLOOR, CHICAGO, IL 60628-4215
(773) 995-3463
Mailing address
134 W 111TH ST, 2ND FLOOR, CHICAGO, IL 60628-4215
(773) 995-3463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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