Dr Tamajah Marie Jordan, MD | |
3231 Euclid Ave Fl 5, Berwyn, IL 60402-4603 | |
(708) 783-2000 | |
Not Available |
Full Name | Dr Tamajah Marie Jordan |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 20 Years |
Location | 3231 Euclid Ave Fl 5, Berwyn, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093931198 | NPI | - | NPPES |
A96062 | Other | CA | MEDICAL BOARD LICENSE |
036118836 | Other | IL | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A96062 (California) | Secondary |
207Q00000X | Family Medicine | 036118836 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Macneal Hospital | Berwyn, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loyola Medical Group Llc | 6305109547 | 92 |
Entity Name | Pcc Community Wellness Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871516799 PECOS PAC ID: 1557270139 Enrollment ID: O20040206000415 |
Entity Name | Alivio Medical Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083860845 PECOS PAC ID: 5698840924 Enrollment ID: O20081114000791 |
Entity Name | Gottlieb Community Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980 |
Entity Name | Loyola Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
Mailing Address | Practice Location Address |
---|---|
Dr Tamajah Marie Jordan, MD 3231 Euclid Ave Fl 5, Berwyn, IL 60402-4603 Ph: (708) 783-2000 | Dr Tamajah Marie Jordan, MD 3231 Euclid Ave Fl 5, Berwyn, IL 60402-4603 Ph: (708) 783-2000 |
Mr. Micah James Leestma, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402 Phone: 708-783-2000 Fax: 708-783-3656 | |
Nereida Esparza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402 Phone: 708-783-2000 Fax: 708-783-3656 | |
Maria Ramirez, Family Medicine Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-9100 | |
Bradford S. Wainer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6840 Windsor Ave, Berwyn, IL 60402 Phone: 708-484-0042 Fax: 708-749-5489 | |
Dr. Catherine Anichini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6326 Cermak Rd, Berwyn, IL 60402 Phone: 708-303-9234 Fax: 305-698-6536 | |
Elsa Valero, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6425 Cermak Rd, Berwyn, IL 60402 Phone: 708-484-0044 | |
Dr. Ron Chacko, Family Medicine Medicare: Medicare Enrolled Practice Location: 7000 Cermak Rd, Berwyn, IL 60402 Phone: 708-484-8090 Fax: 708-445-4444 |