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Individual

DR. JORDAN TEITELBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2604 DEMPSTER ST STE 501, PARK RIDGE, IL 60068-8429
(847) 674-5585
Mailing address
2604 DEMPSTER ST STE 501, PARK RIDGE, IL 60068-8429
(847) 674-5585

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036.152684
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/18/2014
Last updated
05/09/2024
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