Goodrich, Jordan

Goodrich, Jordan is an individual health care provider with primary practice located at 820 S Wood St Ste 100 , Chicago IL 60612-4325. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Goodrich, Jordan can be contacted via phone (312) 996-2933.

Contact Information

Primary practice address
820 S Wood St Ste 100 Chicago IL 60612-4325
Phone: (312) 996-2933
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 125.081287 Illinois

Profile Details

NPI number 1205530300
LBN Legal business name Goodrich, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2023
Last updated Apr 25th, 2023 - about 2 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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