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1083294771
BRIA MAXINE JORDAN
CHICAGO, IL
NPI
1083294771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036.17937)
Enumeration Date
2021-04-08
Last Update Date
2024-10-01
Business Address
BRIA MAXINE JORDAN
7037 S STONY ISLAND AVE
CHICAGO, IL 60649-1905
Phone number: 312-996-2000
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Mailing Address
BRIA MAXINE JORDAN
7037 S STONY ISLAND AVE
CHICAGO, IL 60649-1905
Phone number: 312-355-5590
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