Individual
DR. JORDAN S YOUNGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEMORIAL DR, SUITE 110, DECATUR, IL 62526-6303
(217) 424-2442
(217) 424-9431
Mailing address
2300 N EDWARD ST, GSBLL, DECATUR, IL 62526-4163
(217) 876-2857
(217) 876-2874
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036084067
IL
Other
Enumeration date
07/18/2006
Last updated
09/04/2014
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