Individual
MARK JORDAN NAKONECHNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 PARADISE RD, LAS VEGAS, NV 89109-0931
(702) 369-0560
Mailing address
304 S 6TH ST, DEKALB, IL 60115-3825
(630) 688-8169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1969
NV
225100000X
Physical Therapist
—
IL
Other
Enumeration date
06/16/2007
Last updated
07/08/2007
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