Mrs Danielle Jordal, APN | |
1340 Charles St Ste 300, Rockford, IL 61104-2200 | |
(779) 696-5888 | |
Not Available |
Full Name | Mrs Danielle Jordal |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 1340 Charles St Ste 300, Rockford, 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 |
---|---|---|---|
1639429855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209-009786 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
American Family Home Health Services Llc | Huntley, IL | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
In Home Medical Group Llc | 3779612395 | 50 |
Entity Name | In Home Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497087175 PECOS PAC ID: 3779612395 Enrollment ID: O20100520000116 |
Mailing Address | Practice Location Address |
---|---|
Mrs Danielle Jordal, APN Po Box 1567, Rockford, IL 61110-0067 Ph: () - | Mrs Danielle Jordal, APN 1340 Charles St Ste 300, Rockford, IL 61104-2200 Ph: (779) 696-5888 |
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