| William Jordan, MD | |
|
31 W 155th St, Harvey, IL 60426-3556 | |
| (708) 596-5177 | |
| (708) 596-5518 |
| Full Name | William Jordan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 31 W 155th St, Harvey, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649320680 | NPI | - | NPPES |
| 036112051 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 036112051 (Illinois) | Secondary |
| 208000000X | Pediatrics | 036112051 (Illinois) | Primary |
| Entity Name | Family Christian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093855736 PECOS PAC ID: 6507758612 Enrollment ID: O20040325000572 |
| Entity Name | Friend Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578560090 PECOS PAC ID: 2062494552 Enrollment ID: O20040805001242 |
| Mailing Address | Practice Location Address |
|---|---|
| William Jordan, MD 31 W 155th St, Harvey, IL 60426-3556 Ph: (708) 596-5177 | William Jordan, MD 31 W 155th St, Harvey, IL 60426-3556 Ph: (708) 596-5177 |
Kristin Lucas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Dr. Shelly T Dixon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-339-3523 | |
Miss Anita A. Stewart, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 121 W 154th St, Harvey, IL 60426 Phone: 708-339-6095 Fax: 708-596-2258 | |
Ms. Michelle Alissa Cunningham, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 855-826-3878 | |
Dr. Nicholas Taylor Woolf, MD, MA Pediatrics Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Dr. Lester Hockenberry, Pediatrics Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-339-3583 | |
Dr. Denice D Cook, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 |