Individual
JORDAN ELIZABETH SCHUETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(779) 696-4400
Mailing address
5428 MAPLELEAF CIR, ROCKFORD, IL 61108-8080
(757) 777-2104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
10/09/2024
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