Individual
JORDAN PIERSON GARNER ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 W DIVERSEY PKWY # 200, CHICAGO, IL 60614-1412
(312) 796-7121
Mailing address
800 W DIVERSEY PKWY # 200, CHICAGO, IL 60614-1412
(312) 796-7121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005576
IL
363A00000X
Physician Assistant
PA10061
TX
Other
Enumeration date
08/25/2015
Last updated
09/11/2023
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