Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Hoang

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679293211

Jordan Hoang is a Student in an Organized Health Care Education/Training Program in Bourbonnais, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2034 N State Route 50
Bourbonnais, IL 60914-4410
Phone: (815) 929-0222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.033965 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679293211
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 2, 2022
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022
Mailing address16228 Grove Ave, Oak Forest, IL 60452-4109

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