Individual
DR. SUMANAS WANANT JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-250, CHICAGO, IL 60611-5964
(312) 695-6022
(312) 695-5672
Mailing address
675 N SAINT CLAIR ST STE 19-250, CHICAGO, IL 60611-5964
(312) 695-6022
(312) 695-5672
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036140399
IL
Other
Enumeration date
06/23/2010
Last updated
10/27/2018
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