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NPI Code Detail

MEDICARE: JORDYN CARIDINE

MEDICARE:   JORDYN  CARIDINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianIL

General Provider Information

NPI Number : 1467301051
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDYN CARIDINE
Provider Business Mailing Address
First Line : 332 S MICHIGAN AVE. STE 900
Second Line :
City : CHICAGO
State : IL
Zip : 60604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 332 S MICHIGAN AVE. STE 900
Second Line :
City : CHICAGO
State : IL
Zip : 60604
Country : US
Telephone Number : 708-500-8253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ JORDYN CARIDINE ” Practice Location

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