Individual
MRS. DORENE YVONNE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
5600 W FULLERTON AVE, CHICAGO, IL 60639-2305
(224) 225-0279
(224) 225-0384
Mailing address
5600 W FULLERTON AVE, CHICAGO, IL 60639-2305
(224) 225-0279
(224) 225-0384
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.002868
IL
Other
Enumeration date
11/12/2009
Last updated
01/10/2017
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