Individual
MR. JORDAN KAEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4550 N CLARENDON AVE, APT. 702 S, CHICAGO, IL 60640-6166
(608) 295-4296
Mailing address
306 N. KENSINGTON AVE, LA GRANGE PARK, IL 60526
(312) 965-2997
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/02/2011
Last updated
01/12/2018
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