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1366049900
KENNETH BERNARD JORDAN
MAYWOOD, IL
NPI
1366049900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL 036.167402)
Enumeration Date
2020-10-06
Last Update Date
2024-07-29
Business Address
KENNETH BERNARD JORDAN MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-2687
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Mailing Address
KENNETH BERNARD JORDAN MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 414-614-7073
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