Individual
MARGARET JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 N 1ST ST, SPRINGFIELD, IL 62702-3778
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
085.005776
IL
363A00000X
Physician Assistant
Primary
085.005776
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01727838
RAILROAD
IL
Enumeration date
02/17/2016
Last updated
09/10/2024
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