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

Jordan Tyler Franklin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124605415

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

Licensed in
IL
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2160 S 1st Ave Ste 2840-A
Maywood, IL 60153-3328
Phone: (708) 216-4533
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.033138 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124605415
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 24, 2021
Last updated in NPPESNovember 7, 2021
Certification dateNovember 7, 2021

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