Individual
MRS. NANCY S JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., C.R.N.A.
Contact information
Practice address
5145 N CALIFORNIA AVE, NORTHSHORE MEDICAL GROUP, CHICAGO, IL 60625-3661
(773) 293-5486
Mailing address
2449 W FOSTER AVE, APT GE, CHICAGO, IL 60625-7325
(773) 720-5590
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041342691
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209007985
IL
Other
Enumeration date
01/17/2010
Last updated
07/26/2023
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