Provider Demographics
NPI:1730778986
Name:MCGAREL, JORDAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:
Last Name:MCGAREL
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 WOODLAND HILLS RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-2830
Mailing Address - Country:US
Mailing Address - Phone:630-854-5267
Mailing Address - Fax:
Practice Address - Street 1:1260 IROQUOIS AVE STE 200
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8548
Practice Address - Country:US
Practice Address - Phone:331-229-3123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.010439103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical