Individual
DR. DOUGLAS ANTHONY JORDAHL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1640 E GROVE AVE, RANTOUL, IL 61866-2737
(217) 892-5770
(217) 893-4316
Mailing address
1640 E GROVE AVE, RANTOUL, IL 61866-2737
(217) 892-5770
(217) 893-4316
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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