IndividualActive
Jordan Mudery, MD
NPI 1770087256 · Pediatric Cardiology Physician · Chicago, IL
Provider details
- NPI number
- 1770087256
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036168677 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
225 E Chicago Ave
Chicago, IL 60611-2991
Phone: (312) 227-4000
Approximate (ZIP-level) locationGet directions
Mailing address
3621 N 28th Pl
Phoenix, AZ 85016-7005
Registry dates
- Enumerated
- 2018-03-20
- Last updated
- 2024-06-04
- Certified
- 2024-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.