Jordan James Koczenasz, MD

NPI #1003675315 in Maywood, Illinois

Provider Information

NPI Number
1003675315
Entity Type
Individual
Name
Jordan James Koczenasz, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine
Credential
MD
Enumeration Date
Mar 18, 2024
Last Updated
Jul 9, 2024

Practice Location

Address
2160 S 1ST AVE
ZIP Code
60153-3328
Phone
(888) 584-7888

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Internal Medicine

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