Individual
JORDAN REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.528979
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209033564
IL
Other
Enumeration date
07/11/2023
Last updated
11/06/2025
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