Individual
DR. JORDAN CAMERON TASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, DEPARTMENT OF RADIOLOGY, MAYWOOD, IL 60153-3328
(847) 422-3414
Mailing address
1455 N SANDBURG TER, #2303, CHICAGO, IL 60610-1566
(847) 422-3414
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036126736
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036126736
IL
Other
Enumeration date
08/26/2008
Last updated
03/12/2024
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