Jordan T Gitalan
Jordan T Gitalan is a Nurse Practitioner in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Applebaum Physiatry PLLC, a 137-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 6
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
5841 S Maryland AveChicago, IL 60637-1443
Phone: (888) 824-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 209023209 (IL) |
|---|
Record details
| NPI number | 1659943785 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 16, 2021 |
| Last updated in NPPES | October 24, 2022 |
| Certification date | July 16, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Applebaum Physiatry Pllc — 137 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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