| Lia Jordano, MD | |
|
396 Remington Blvd Ste 300, Bolingbrook, IL 60440-4314 | |
| (630) 789-3422 | |
| Not Available |
| Full Name | Lia Jordano |
|---|---|
| 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 |
|---|---|---|---|
| 1346655933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 036160316 (Illinois) | Primary |
| Entity Name | Adventist Health Partners Inc |
|---|---|
| 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 |
|---|---|
| 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 |