Individual
DR. JORDAN RAY LEDGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1229 W WASHINGTON BLVD, SUITE 220, CHICAGO, IL 60607-2132
(312) 620-1926
(312) 610-5638
Mailing address
1229 W WASHINGTON BLVD, SUITE 220, CHICAGO, IL 60607-2132
(312) 620-1926
(312) 610-5638
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.028719
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
08856
IA
Other
Enumeration date
04/27/2011
Last updated
05/07/2021
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