Individual
DR. JORDAN MUDERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
3621 N 28TH PL, PHOENIX, AZ 85016-7005
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036168677
IL
Other
Enumeration date
03/20/2018
Last updated
06/04/2024
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