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1073142832
JORDAN ALEXANDER MADDOX
CHICAGO, IL
NPI
1073142832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036.166417)
Enumeration Date
2020-04-03
Last Update Date
2024-01-15
Business Address
JORDAN ALEXANDER MADDOX DO
259 E ERIE ST STE 2350
CHICAGO, IL 60611-3370
Phone number: 312-926-6000
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Mailing Address
JORDAN ALEXANDER MADDOX DO
4956 N WESTERN AVE APT 1S
CHICAGO, IL 60625-6884
Phone number: 847-345-6688
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