Search › Illinois › 1041C0700X
Jordan Litvak, LICENSED CLINICAL SO
NPI 1609315662 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2200 Boysenberry Ln Apt 2
Springfield, IL 62711 - Phone
- (217) 971-8836
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- NM, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-16
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