Jordan, James Vincent

Jordan, James Vincent is an sole proprietor health care provider with primary practice located at 3648 Duchess Ct , Downers Grove IL 60515-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Jordan, James Vincent can be contacted via phone (630) 515-1073.

Contact Information

Primary practice address
3648 Duchess Ct Downers Grove IL 60515-1404
Phone: (630) 515-1073
Fax: (630) 515-1073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 036052392 Illinois

Profile Details

NPI number 1922430842
LBN Legal business name Jordan, James Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2013
Last updated Aug 1st, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922430842 NPPES
Illinois Other 036052392 MEDICAL LICENSE NUMBER

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