JORDAN SHELLEY

EVANSTON, IL
NPI1669827515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070022538)
Enumeration Date2016-04-28
Last Update Date2022-12-08
Business Address
JORDAN SHELLEY DPT
1704 MAPLE AVE STE 200
EVANSTON, IL 60201-3134
Phone number: 847-926-0106
Mailing Address
JORDAN SHELLEY DPT
1704 MAPLE AVE STE 200
EVANSTON, IL 60201-3134
Phone number: 847-926-0106
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