JORDAN THOMAS JOHNSON

CHICAGO, IL
NPI1750842902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036161418)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-29
Last Update Date2022-07-14
Business Address
JORDAN THOMAS JOHNSON DO
1653 W CONGRESS PKWY
CHICAGO, IL 60612-3833
Phone number: 312-947-0029
Mailing Address
JORDAN THOMAS JOHNSON DO
1653 W CONGRESS PKWY
CHICAGO, IL 60612-3833
Phone number: 312-947-0029