Teitelbaum, Jordan

Teitelbaum, Jordan is an sole proprietor health care provider with primary practice located at 2604 Dempster St Ste 501 , Park Ridge IL 60068-8429. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Teitelbaum, Jordan can be contacted via phone (847) 674-5585.

Contact Information

Primary practice address
2604 Dempster St Ste 501 Park Ridge IL 60068-8429
Phone: (847) 674-5585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036.152684 Illinois

Profile Details

NPI number 1518374784
LBN Legal business name Teitelbaum, Jordan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2014
Last updated May 9th, 2024 - about 2 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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