IndividualActive
Jordan Elmowitz, DMD
NPI 1962021139 · Oral & Maxillofacial Surgery (D.M.D.) · Chicago, IL
Provider details
- NPI number
- 1962021139
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 019032670 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1900 W. Polk Street
Clinic D
Chicago, IL 60612
Phone: (866) 600-2273
Approximate (ZIP-level) locationGet directions
Mailing address
1900 W Polk Street
Chicago, IL 60612
Registry dates
- Enumerated
- 2020-04-08
- Last updated
- 2022-09-06
- Certified
- 2022-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.