Individual
MR. MALIK JORDAN-DEANE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5758 S MARYLAND AVE DEPT 4B, CHICAGO, IL 60637-1426
(478) 461-0931
Mailing address
1221 E HYDE PARK BLVD APT 1, CHICAGO, IL 60615-2900
(478) 461-0931
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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