Search › Illinois › 101YM0800X
Julia Jordan-Lake
NPI 1447880513 · on the registry since 2020
Practice
- Address
- 7421 Madison St
Forest Park, IL 60130 - Phone
- (615) 975-2774
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-20
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