KENNETH BERNARD JORDAN

MAYWOOD, IL
NPI1366049900
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL  036.167402)
Enumeration Date2020-10-06
Last Update Date2024-07-29
Business Address
KENNETH BERNARD JORDAN MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-2687
Mailing Address
KENNETH BERNARD JORDAN MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 414-614-7073