Search › Illinois › 163W00000X
Kelly Jordan-Licht
NPI 1114422573 · on the registry since 2018
Practice
- Address
- 811 W John St # 126
Yorkville, IL 60560 - Phone
- (630) 553-8048
- Fax
- (630) 553-9604
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois