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1740374461
MARK JORDAN
CHICAGO, IL
NPI
1740374461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 71005770)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Dr. MARK JORDAN Psy.D.
2701 W 68TH STREET
CHICAGO, IL 60629
Phone number: 708-991-9002
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Mailing Address
Dr. MARK JORDAN Psy.D.
162 S NORMANDY
CHICAGO HEIGHTS, IL 60411
Phone number: 630-218-4369
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