Cancienne, Jourdan Michael

Cancienne, Jourdan Michael is an individual health care provider with primary practice located at 963 N 129Th Infantry Dr , Joliet IL 60435-3104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Cancienne, Jourdan Michael can be contacted via phone (708) 492-5900.

Contact Information

Primary practice address
963 N 129Th Infantry Dr Joliet IL 60435-3104
Phone: (708) 492-5900
Fax: (708) 409-5179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036145036 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 312202 Louisiana

Profile Details

NPI number 1821433210
LBN Legal business name Cancienne, Jourdan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2013
Last updated Feb 21st, 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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