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NPI Code Detail

MEDICARE: ASHLEIGH JORDAN LPN

MEDICARE: ASHLEIGH JORDAN LPN
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
1164W00000XLicensed Practical Nurse043129259IL

General Provider Information

NPI Number : 1538010491
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEIGH JORDAN LPN
Provider Business Mailing Address
First Line : 609 N WELLS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60654-3714
Country : US
Telephone Number : 312-266-0404
Fax Number : 312-266-8169
Provider Business Practice Location Address
First Line : 609 N WELLS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60654-3714
Country : US
Telephone Number : 312-266-0404
Fax Number : 312-266-8169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “ ASHLEIGH JORDAN LPN” Practice Location

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