Individual
DR. JORDAN CASCANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(405) 795-0557
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.160980
IL
207R00000X
Internal Medicine Physician
OP61422983
WA
390200000X
Student in an Organized Health Care Education/Training Program
00000000000000000000
IL
Other
Enumeration date
05/03/2019
Last updated
07/20/2023
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