Individual
JOSE LUIS PRIETO JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4320 FIR ST UNIT 210, EAST CHICAGO, IN 46312-8410
(219) 392-7084
Mailing address
4320 FIR ST UNIT 210, EAST CHICAGO, IN 46312-8410
(219) 392-7084
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01096575A
IN
Other
Enumeration date
06/22/2022
Last updated
06/20/2025
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