Victor Jorden, M.D., M.P.H.
Anesthesiology in Lake Villa, IL. Individual provider (NPI-1).
NPI number1497931455
StatusActive
Last updated in NPPESJan 21, 2008
Details
- NPI
- 1497931455
- Entity type
- Individual (NPI-1)
- Name
- Victor Jorden
- Credential
- M.D., M.P.H.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 21, 2008
- Last updated
- Jan 21, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 036-105365 | IL | Yes |
Practice location
18665 W Lazy Acre RdLake Villa, IL 60046-6765
Phone 847-245-7154
Mailing address
18665 W Lazy Acre RdLake Villa, IL 60046-6765
Phone 847-245-7154
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