Individual
JORDAN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 S CLAY ST STE LL30, HINSDALE, IL 60521-3257
(630) 286-5050
(630) 286-5052
Mailing address
POB 7132960, CHICAGO, IL 60677-0001
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-011177
IL
Other
Enumeration date
07/27/2022
Last updated
03/13/2025
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