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Individual

DR. JOURDAN CANCIENNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
963 N 129TH INFANTRY DR, JOLIET, IL 60435-3104
(708) 492-5900
(708) 409-5179
Mailing address
963 N 129TH INFANTRY DR, JOLIET, IL 60435-3104
(708) 492-5900
(708) 409-5179

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01079836A
IN
207X00000X
Orthopaedic Surgery Physician
036145036
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01079836A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036145036
IL

Other

Enumeration date
04/30/2013
Last updated
11/01/2024
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