JORDAN GOODRICH

CHICAGO, IL
NPI1205530300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL  125.081287)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-30
Last Update Date2023-04-25
Business Address
JORDAN GOODRICH
820 S WOOD ST STE 100
CHICAGO, IL 60612-4325
Phone number: 312-996-2933
Mailing Address
JORDAN GOODRICH
820 S WOOD ST STE 100
CHICAGO, IL 60612-4325
Phone number: 312-996-2933