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Contact Information

JESSE G WARDLOW, MD
11 SALT CREEK LN STE 101
HINSDALE, IL60521-3032
 Phone: 630-789-3110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Otolaryngic Allergy

207YX0602X 04 Physician/Otolaryngology
 

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JESSE G WARDLOW · (Male)

NPI Number 1184653883
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 03/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036093003
  • IL Medicaid 036093003
Hospital affiliation(s)
  • ADVENTIST BOLINGBROOK HOSPITAL - (Acute Care)
    500 REMINGTON BOULEVARD
    BOLINGBROOK, IL 60440
  • ADVENTIST LA GRANGE MEMORIAL HOSPITAL - (Acute Care)
    5101 S WILLOW SPRINGS RD
    LA GRANGE, IL 60525
  • HINSDALE HOSPITAL - (Acute Care)
    120 NORTH OAK ST
    HINSDALE, IL 60521
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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