Individual
JORDAN HUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
840 S WOOD ST, 1245 CSB, MC 856, CHICAGO, IL 60612-4325
(312) 413-3762
(312) 413-0243
Taxonomy
Speciality
Code
Description
License number
State
2080I0007X
Pediatric Clinical & Laboratory Immunology Physician
Primary
036084510
IL
Other
Enumeration date
08/08/2006
Last updated
11/20/2008
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