Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIEL ALLEN JORDAN JR.
Active2472E0500X · PLAINFIELD, IL
Registration Details
- NPI Number
- 1770365108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2023 (2.5070782298116 yrs)
- Last Updated
- Oct 29, 2023
Practice Information
- Address
-
13805 S AUTUMN WAY UNIT 109PLAINFIELD, IL, 605448817Browse IL providers · Browse ZIP 60544
- Phone
- 7082598250
- Primary Specialty
-
2472E0500X
2472E0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.