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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANIEL ALLEN JORDAN JR.

Active

DANIEL ALLEN JORDAN JR. is a 2472E0500X healthcare provider located in PLAINFIELD, Illinois. NPI 1770365108 is currently active in the NPPES registry. Verify at CMS.

2472E0500X · PLAINFIELD, IL

Registration Details

NPI Number
1770365108
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2023 (2.8484720147934 yrs)
Last Updated
Oct 29, 2023

Practice Information

Address
13805 S AUTUMN WAY UNIT 109
PLAINFIELD, IL, 605448817
Browse 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.