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1144066267
JORDAN LOGAN SMITH
CHICAGO, IL
NPI
1144066267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IL 041467405)
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
JORDAN LOGAN SMITH
1620 W HARRISON ST
CHICAGO, IL 60612-3801
Phone number: 312-942-5000
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Mailing Address
JORDAN LOGAN SMITH
1620 W HARRISON ST
CHICAGO, IL 60612-3801
Phone number:
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