MR. Jordan Alexander Gillard

NPI #1689061749 in La Grange Park, Illinois

Provider Information

NPI Number: 1689061749
Entity Type: Individual
Name: MR. Jordan Alexander Gillard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Apr 16, 2015
Last Updated: Apr 16, 2015

Practice Location

Address: 333 N LA GRANGE RD
Address 2: SUITE ONE
City: La Grange Park
State: Illinois
ZIP Code: 60526-5646
Phone: (708) 745-5277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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