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NPI Code Detail

MEDICARE: JORDYN RENEE POPE

MEDICARE: JORDYN RENEE POPE
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
1101YP2500XProfessional Counselor178021978IL

General Provider Information

NPI Number : 1831867332
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDYN RENEE POPE
Provider Business Mailing Address
First Line : 3420 N LAKE SHORE DR APT 8K
Second Line :
City : CHICAGO
State : IL
Zip : 60657-9416
Country : US
Telephone Number : 405-795-2606
Fax Number :
Provider Business Practice Location Address
First Line : 929 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4408
Country : US
Telephone Number : 773-496-4433
Fax Number : 773-496-4430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2021
Last Update Date : 12/26/2025

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Directions to “ JORDYN RENEE POPE ” Practice Location

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