Individual
MRS. MARIA TERESA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. ECSE
Contact information
Practice address
3337 N KOLMAR AVE, CHICAGO, IL 60641-4546
(773) 960-5156
Mailing address
3337 N KOLMAR AVE, CHICAGO, IL 60641-4546
(773) 960-5156
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2393772
IL
Other
Enumeration date
07/16/2011
Last updated
07/16/2011
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