Search › Illinois › 101Y00000X
Jordan Mallery
NPI 1891575254 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1190 E Washington St
Grayslake, IL 60030 - Phone
- (847) 549-2235
- Clinicians at this address
- 30
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2023-10-03
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