Individual
DR. JAMES VINCENT JORDAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3648 DUCHESS CT, DOWNERS GROVE, IL 60515-1404
(630) 515-1073
(630) 515-1073
Mailing address
3648 DUCHESS CT, DOWNERS GROVE, IL 60515-1404
(630) 515-1073
(630) 515-1073
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
036052392
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036052392
MEDICAL LICENSE NUMBER
IL
Enumeration date
08/01/2013
Last updated
08/01/2013
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