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General NPI Number Information
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NPI Number | 1467125237
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Entity Type | Individual
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Provider Name | JORDYN ROCHFORD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 5721 S MARYLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60637-1425
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Country | US
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Telephone | 773-702-9079
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 N LAKE SHORE DR APT 505
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City | CHICAGO
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State | IL
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Zip | 60657-6257
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Country | US
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Telephone | 708-227-1398
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 209023618
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 209023618
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License Number State | IL
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