Individual
DR. ELLIOTT JAMES JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1425 N MAIN ST, WHEATON, IL 60187-3581
(630) 668-9626
Mailing address
535 W CORNELIA AVE APT 802, CHICAGO, IL 60657-2707
(330) 423-2060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012404
IL
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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