Individual
JORDAN MOTTET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
676 N SAINT CLAIR ST STE 2030, CHICAGO, IL 60611-2830
(312) 926-6831
(312) 926-2200
Mailing address
676 N SAINT CLAIR ST STE 2030, CHICAGO, IL 60611-2830
(312) 926-6831
(312) 926-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
385005865
IL
Other
Enumeration date
05/22/2017
Last updated
05/22/2020
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