Individual
VICTOR JORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
18665 W LAZY ACRE RD, LAKE VILLA, IL 60046-6765
(847) 245-7154
Mailing address
18665 W LAZY ACRE RD, LAKE VILLA, IL 60046-6765
(847) 245-7154
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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