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

Individual provider Clinical Psychologist · NPI 1811857451

Jordan Randolph Horwath, PHD is a Clinical Psychologist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5100 N Ravenswood Ave Ste 225
Chicago, IL 60640-1752
Phone: (872) 241-9337
Fax: (872) 241-9338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.011475 (IL)

Record details

NPI number1811857451
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 17, 2025
Certification dateNovember 16, 2025

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