DR. JAMES VINCENT JORDAN JR.


Address: 3648 Duchess Ct, Downers Grove, IL 60515-1404
Phone: 6305151073

DR. JAMES VINCENT JORDAN JR. (NPI# 1922430842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922430842
Entity Type Individual
Full Name DR. JAMES VINCENT JORDAN JR.
Credential M.D.
Practice Address 3648 Duchess Ct
Downers Grove
IL 60515-1404
Practice Telephone 6305151073
Practice Fax Number 6305151073
Mailing Telephone 6305151073
Mailing Fax Number 6305151073
Enumeration Date 2013-08-01
Last Update Date 2013-08-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0000X Internal Medicine
Specialization: Hematology
036052392 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL MEDICAL LICENSE NUMBER 036052392 01

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Office Location

Street Address 3648 DUCHESS CT
City DOWNERS GROVE
State IL
Zip Code 60515-1404

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1013408194 Amer Shammaa Dentist 1008 Braemoor Dr, Downers Grove, IL 60515 2018-05-23
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1588176390 Tammy Marie Tunac Counselor 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 2017-11-02
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Taxonomy Information

Taxonomy Code 207RH0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology

Taxonomy Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154579688 Henry Frischer Internal Medicine 213 Donald Ter, Glenview, IL 60025-4715 2008-09-09
1699862706 Jeffrey Sosman Internal Medicine 676 N Saint Clair St Ste 850, Chicago, IL 60611-3124 2006-10-09
1013010487 Celalettin Ustun Internal Medicine 1725 W Harrison St Ste 1010, Chicago, IL 60612 2006-09-07
1164537825 Hau Kwaan Internal Medicine 250 E Superior St Ste 5-2261, Chicago, IL 60611-2914 2006-08-20
1326151796 Helen S Gue Internal Medicine 5053 S Damen Ave, Chicago, IL 60609-4718 2006-08-17
1053342428 Ginny Kamboj Internal Medicine 661 Ridgeview Dr, Mchenry, IL 60050-7012 2006-07-05
1568499770 Robert Mocharnuk Internal Medicine 315 W Carpenter St # 2w106, Springfield, IL 62702-4901 2006-06-26
1801830534 Sami Atassi Internal Medicine 1400 Pin Oak Dr, Carterville, IL 62918-1600 2006-06-15
1548228711 Jaya Kasturi Internal Medicine 1812 Broadway St, Melrose Park, IL 60160-2039 2006-05-03
1023078797 Deepak Malhotra Internal Medicine 1400 Pin Oak Drive, Carterville, IL 62918 2006-03-25
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Competitor

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City DOWNERS GROVE
Zip Code 60515

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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