Individual
LIA JORDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
396 REMINGTON BLVD STE 300, BOLINGBROOK, IL 60440-4314
(630) 789-3422
Mailing address
396 REMINGTON BLVD STE 300, BOLINGBROOK, IL 60440-4314
(630) 789-3422
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036160316
IL
Other
Enumeration date
06/23/2014
Last updated
06/09/2023
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