Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN NICHOLS
Active Sole ProprietorJORDAN NICHOLS is a Podiatrist healthcare provider located in PARK RIDGE, Illinois. NPI 1982684601 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · PARK RIDGE, IL
Registration Details
- NPI Number
- 1982684601
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2006 (20.608180132382 yrs)
- Last Updated
- Dec 5, 2014
- License
-
0160003281 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
135 N NORTHWEST HWYPARK RIDGE, IL, 600683341Browse IL providers · Browse ZIP 60068
- Phone
- 8478235077
- Fax
- 8478230371
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in PARK RIDGE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. EUGENE EDMUND DEZANEK | DPM | 1194828624 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.