Individual provider · Type 1 NPI

Russell O. Jordan, DC

Chiropractor · Kankakee, IL

NPI number 1659489300 Active

Practice location

3039 W 1500N Rd
Kankakee, IL 60901-8350

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1659489300

Russell O. Jordan, DC's National Provider Identifier is 1659489300, issued on Aug 25, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kankakee, IL. The record was last updated on Jul 8, 2007.