Individual provider · Type 1 NPI

Jordan T. Gitalan

Adult Health Nurse Practitioner · Chicago, IL

NPI number 1659943785 Active

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr, Suite 300
Burr Ridge, IL 60527-5919

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X209023209 (IL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1659943785

Jordan T. Gitalan's National Provider Identifier is 1659943785, issued on Jul 16, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2022.