Individual
DR. JOHN EDWARD JORDAN III
Active
Individual
DR. JOHN EDWARD JORDAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01048056
IN
207R00000X
Internal Medicine Physician
036-080023
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01048056
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-080023
IL
207RP1001X
Pulmonary Disease Physician
Primary
01048056
IN
207RP1001X
Pulmonary Disease Physician
036-080023
IL
Other
Enumeration date
12/12/2006
Last updated
08/05/2010
Update your record
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