Search › Illinois › 111N00000X
Russell Jordan, D.C
NPI 1659489300 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3039 W 1500n Rd
Kankakee, IL 60901 - Phone
- (815) 939-0243
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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