Search › Illinois › 207P00000X
Jordan Marshall, MD
NPI 1396188025 · on the registry since 2013
Practice
- Address
- 2001 State St
East Saint Louis, IL 62205 - Phone
- (618) 271-0204
- Organisation at this address
- Southern Illinois Healthcare Foundation, Inc.
Southern Illinois Healthcare Foundation, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 275 S Aspen St Stop 89, Buckley Afb, CO
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 2083A0100X
208D00000X - Licence states on file
- VA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-18
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