Lia Jordano, MD | |
396 Remington Blvd Ste 300, Bolingbrook, IL 60440-4314 | |
(630) 789-3422 | |
Not Available |
Full Name | Lia Jordano |
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Gender | Female |
Speciality | Surgery - Vascular Surgery |
Location | 396 Remington Blvd Ste 300, Bolingbrook, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1346655933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2086S0129X | Surgery - Vascular Surgery | 036160316 (Illinois) | Primary |
Entity Name | Adventist Health Partners Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912218850 PECOS PAC ID: 7517154347 Enrollment ID: O20101207000017 |
Mailing Address | Practice Location Address |
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Lia Jordano, MD 396 Remington Blvd Ste 300, Bolingbrook, IL 60440-4314 Ph: (630) 789-3422 | Lia Jordano, MD 396 Remington Blvd Ste 300, Bolingbrook, IL 60440-4314 Ph: (630) 789-3422 |
Sophia Deltoro, D.O Surgery Medicare: Medicare Enrolled Practice Location: 396 Remington Blvd Ste 240, Bolingbrook, IL 60440 Phone: 630-226-0664 | |
Dr. Jason Christopher Goliath, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 396 Remington Blvd, Suite 240, Bolingbrook, IL 60440 Phone: 630-226-0664 Fax: 630-226-0669 | |
Stephan G Wyers, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 396 Remington Blvd Ste 240, Bolingbrook, IL 60440 Phone: 630-226-0664 |