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NPI Code Detail

MEDICARE: DR. MATTHEW T. JORDAN M.D.

MEDICARE: DR. MATTHEW T. JORDAN M.D.
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
1207P00000XEmergency Medicine Physician036107282IL

General Provider Information

NPI Number : 1952302101
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW T. JORDAN M.D.
Provider Business Mailing Address
First Line : 927 S DRYDEN PL
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2766
Country : US
Telephone Number : 847-962-6008
Fax Number :
Provider Business Practice Location Address
First Line : 7435 W TALCOTT AVE
Second Line : RESURRECTION MEDICAL CENTER
City : CHICAGO
State : IL
Zip : 60631-3707
Country : US
Telephone Number : 773-792-5255
Fax Number : 773-794-7664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 10/31/2025

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