Search › Illinois › 207Y00000X
Jordan Teitelbaum, D.O
NPI 1518374784 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2604 Dempster St Ste 501
Park Ridge, IL 60068 - Phone
- (847) 674-5585
- Organisation at this address
- Kt Dental Pc
Kandi Dental Pc
Oracle Healthcare Inc
Chicago Hospice, Llc.
Thomas E. Holmes LcswInferred from a shared address, not stated in the registry. - Clinicians at this address
- 49
Additional practice sites
- 5100 W Broad St, Columbus, OH
- 8780 W Golf Rd Ste 200, Niles, IL
Registry record
- Primary taxonomy
- 207Y00000X
207Y00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-09
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