Jordan, Ivy T.

Jordan, Ivy T. is an sole proprietor health care provider with primary practice located at 9310 Kenton Ave , Skokie IL 60076-1336. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Jordan, Ivy T. can be contacted via phone (847) 676-9010.

Contact Information

Primary practice address
9310 Kenton Ave Skokie IL 60076-1336
Phone: (847) 676-9010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1904908 Illinois

Profile Details

NPI number 1265014070
LBN Legal business name Jordan, Ivy T.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2021
Last updated Apr 22nd, 2021 - about 4 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.

Request for update

Popular Providers