Individual
ALISON JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S MAPLE AVE, OAK PARK, IL 60304-1022
(708) 383-9300
Mailing address
620 S MAPLE AVE, OAK PARK, IL 60304-1024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018735
IL
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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