Jordan, Tamajah Marie

Jordan, Tamajah Marie is an individual health care provider with primary practice located at 3231 Euclid Ave Fl 5 , Berwyn IL 60402-4603. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Jordan, Tamajah Marie can be contacted via phone (708) 783-2000.

Contact Information

Primary practice address
3231 Euclid Ave Fl 5 Berwyn IL 60402-4603
Phone: (708) 783-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A96062 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036118836 Illinois

Profile Details

NPI number 1093931198
LBN Legal business name Jordan, Tamajah Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Aug 17th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093931198 NPPES
California Other A96062 MEDICAL BOARD LICENSE
California Other 036118836 MEDICAL BOARD LICENSE

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