Bruce, Jordan Sestak
Bruce, Jordan Sestak is an individual health care provider with primary practice located at 751 N Rutledge St Ste 3100 , Springfield IL 62702-4968. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bruce, Jordan Sestak can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
751 N Rutledge St Ste 3100
Springfield IL 62702-4968
Phone: (217) 545-8000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036.150367 | Illinois |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 217843 | North Carolina |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125066620 | Illinois |
Profile Details
NPI number | 1528440724 |
---|---|
LBN Legal business name | Bruce, Jordan Sestak |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2015 |
Last updated | Apr 6th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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