JORDAN THIEME

CHICAGO, IL
NPI1972972578
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070021886)
Enumeration Date2015-09-24
Last Update Date2015-11-16
Business Address
-- JORDAN THIEME
5230 S BLACKSTONE AVE
CHICAGO, IL 60615-4106
Phone number: 773-256-1475
Mailing Address
-- JORDAN THIEME
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: