Individual
DR. BRENT JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 296-4589
Mailing address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 296-4589
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
67900-20
WI
2085R0202X
Diagnostic Radiology Physician
86646
GA
2085R0202X
Diagnostic Radiology Physician
ME151243
FL
Other
Enumeration date
06/18/2015
Last updated
09/08/2025
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