Individual
JOSEPH JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HINES BRC BLD 113, 5000 S 5TH AVE, 124, HINES, IL 60141
(708) 202-3737
Mailing address
HINES BRC BLD 113, 5000 S 5TH AVE, 124, HINES, IL 60141
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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