JORDAN X ALLEN

KANKAKEE, IL
NPI1568039865
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL  125.078495)
Enumeration Date2021-06-07
Last Update Date2021-06-07
Business Address
JORDAN X ALLEN
350 N WALL ST
KANKAKEE, IL 60901-2901
Phone number: 815-933-1601
Mailing Address
JORDAN X ALLEN
350 N WALL ST
KANKAKEE, IL 60901-2901
Phone number:
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