Individual
JORDAN WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 E 62ND ST, CHICAGO, IL 60637-3269
(219) 419-8491
Mailing address
717 E 62ND ST, CHICAGO, IL 60637-3269
(219) 419-8491
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-344908
IL
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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