DR. Russell O Jordan, D.C.

NPI #1659489300 in Kankakee, Illinois

Provider Information

NPI Number: 1659489300
Entity Type: Individual
Name: DR. Russell O Jordan, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Aug 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3039 W 1500N RD
City: Kankakee
State: Illinois
ZIP Code: 60901-8350
Phone: (815) 939-0243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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