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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922430842 | NPPES |
| Illinois | Other | 036052392 | MEDICAL LICENSE NUMBER |
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