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Search › Illinois › 208M00000X

Wyeth Jordan, DO

NPI 1518256437 · on the registry since 2011

Practice

Address
4440 W 95th St
Oak Lawn, IL 60453
Phone
(312) 609-0300
Organisation at this address
Uic
Stacie Ward
Walgreen Co
Surgical Partners
Advocate Christ Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,126

Registry record

Primary taxonomy
208M00000X
208M00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-07

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