Jordan, Glory

Jordan, Glory is an sole proprietor health care provider with primary practice located at 1 Tiffany Pt Suite 203, Bloomingdale IL 60108-2936. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jordan, Glory can be contacted via phone (630) 924-0600.

Contact Information

Primary practice address
1 Tiffany Pt Suite 203 Bloomingdale IL 60108-2936
Phone: (630) 924-0600
Fax: (866) 808-2485
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.002321 Illinois

Profile Details

NPI number 1811054224
LBN Legal business name Jordan, Glory
Credentials LCSW, DCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Apr 7th, 2014 - 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 1811054224 NPPES
Illinois Other 262945 VALUE OPTIONS PROVIDER NO
Illinois Other 363716771 VALUE OPTIONS PROVIDER NO
Illinois Other 7435198 VALUE OPTIONS PROVIDER NO
Illinois Other 363716771 0012 VALUE OPTIONS PROVIDER NO
Illinois Other 2232789 VALUE OPTIONS PROVIDER NO
Illinois Other 476392000 VALUE OPTIONS PROVIDER NO
Illinois Other 206554117 VALUE OPTIONS PROVIDER NO

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