Individual
JEFFREY L FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 596-5518
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 596-5518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003562
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085003562
—
IL
Enumeration date
09/08/2009
Last updated
11/22/2021
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