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Jordan Luli, DO
Student in an Organized Health Care Education/Training Program in Kankakee, Illinois
NPI 1831691914

Jordan Luli is a Student in an Organized Health Care Education/Training Program based in Kankakee, IL. Jordan Luli practices in Kankakee, IL and has the professional credentials of DO. The NPI Number for Jordan Luli is 1831691914 and holds a License No. (Illinois).

The current practice location address for Jordan Luli is 375 N Wall St, Kankakee, IL and can be reached out via phone at 815-933-1671.

Location: 375 N Wall St, Kankakee, IL, 60901-3483
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831691914
Provider Name
Jordan Luli
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
375 N Wall St, Kankakee, IL, 60901-3483
Phone Number
815-933-1671
Fax Number
Provider Enumeration Date
03/05/2018
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
375 N Wall St
City
Kankakee
State
Illinois
Zip
60901-3483
Phone Number
815-933-1671
Fax Number
person
Provider Business Mailing Address Details
Address
375 N Wall St
City
Kankakee
State
Illinois
Zip
60901-3483
Phone Number
815-933-1671
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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