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Jose Luis Prieto Jordan, MD
Student in an Organized Health Care Education/Training Program in Berwyn, Illinois
NPI 1871224501

Jose Luis Prieto Jordan is a Student in an Organized Health Care Education/Training Program based in Oak Park, IL. Jose Luis Prieto Jordan practices in Berwyn, IL and has the professional credentials of MD. The NPI Number for Jose Luis Prieto Jordan is 1871224501 and holds a License No. 125.080318 (Illinois).

The current practice location address for Jose Luis Prieto Jordan is 3249 Oak Park Ave, Berwyn, IL and can be reached out via phone at 708-783-3401.

Location: 3249 Oak Park Ave, Berwyn, IL, 60302-3280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871224501
Provider Name
Jose Luis Prieto Jordan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3249 Oak Park Ave, Berwyn, IL, 60302-3280
Phone Number
708-783-3401
Fax Number
Provider Enumeration Date
06/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3249 Oak Park Ave
City
Berwyn
State
Illinois
Zip
60402-3429
Phone Number
708-783-3401
Fax Number
person
Provider Business Mailing Address Details
Address
3249 Oak Park Ave
City
Berwyn
State
Illinois
Zip
60402-3429
Phone Number
708-783-3401
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.
125.080318 (Illinois)
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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