Individual
MS. JESSICA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7618 JOCKEY DR, LOVES PARK, IL 61111-5389
(773) 620-8426
Mailing address
7618 JOCKEY DR, LOVES PARK, IL 61111-5389
(773) 620-8426
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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