Douglas A Jordahl (NPI# 1710945894, PAC ID# 1456410067) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1710945894 |
| PAC ID by PECOS | 1456410067 |
| Professional Enrollment ID | I20081111000321 |
| Full Name | Douglas A Jordahl |
| Address |
1640 E Grove Ave Rantoul IL 61866-2737 |
| Gender | M |
| Medical School | NATIONAL COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1991 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1640 E Grove Ave, Rantoul, IL 61866-2737 |
| Street Address |
1640 E GROVE AVE |
| City | RANTOUL |
| State | IL |
| Zip | 61866-2737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David P Kruger | Optometry | 845 Broadmeadow Rd, Rantoul, IL 61866-2119 | |
| Ryan Jeffrey Witt | Optometry | Chittick Family Eye Care Ltd | 1291 E Grove St, Rantoul, IL 61866-2629 |
| James D Lohrberg | Optometry | Chittick Family Eye Care Ltd | 1291 E Grove St, Rantoul, IL 61866-2629 |
| John E Brothers | Optometry | Chittick Family Eye Care Ltd | 1291 E Grove St, Rantoul, IL 61866-2629 |
| Erich Slocum | Family Medicine | Carle Health Care Incorporated | 1540 E Grove Ave, Rantoul, IL 61866-2736 |
| City | RANTOUL |
| Zip Code | 61866 |
| Specialty | CHIROPRACTIC |
| City + Specialty | RANTOUL + CHIROPRACTIC |
Please comment or provide details below to improve the information on Douglas A Jordahl.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.