Tamajah Marie Jordan in Berwyn - General Practice
Tamajah Marie Jordan - NPI 1093931198
Tamajah Marie Jordan is a General Practice in Berwyn, Illinois. Tamajah Marie Jordan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tamajah Marie Jordan is 1093931198. The last update date is 2022-08-17.
Tamajah Marie Jordan's current location address is 3231 Euclid Ave Fl 5, Berwyn, Illinois. You can contact this provider via phone number 7087832000. The mailing address for Tamajah Marie Jordan is 3231 Euclid Ave Fl 5, Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamajah Marie Jordan |
|---|---|
| Address | 3231 Euclid Ave Fl 5, Berwyn, Illinois |
| Phone Number | 7087832000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093931198 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2022-08-17 |
Provider Mailing Address Detail
| Address | 3231 Euclid Ave Fl 5 |
|---|---|
| City | Berwyn |
| State | Illinois (IL) |
| Post Code | 604024603 |
| Phone Number | 7087832000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | A96062 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A96062 | CA | MEDICAL BOARD LICENSE | |
| 36118836 | IL | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Tamajah Marie Jordan by the Centers for Medicare & Medicaid Services?
The Tamajah Marie Jordan has been issued the NPI (National Provider Identifier) 1093931198. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tamajah Marie Jordan?
The Tamajah Marie Jordan is physically situated at 3231 Euclid Ave Fl 5, in the city of Berwyn, state of IL, with the postal code 604024603.
What is Tamajah Marie Jordan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tamajah Marie Jordan is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093931198 to Tamajah Marie Jordan?
The Tamajah Marie Jordan received its 1093931198 assignment from the Centers for Medicare & Medicaid Services on 2007-04-17.
As of what date were the Tamajah Marie Jordan's details last updated?
The information pertaining to the Tamajah Marie Jordan, including its address, specialty, and other details, was most recently updated on 2022-08-17.
NPI Number: 1720081763
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