Jordan Nichols
Jordan Nichols is a Podiatrist in Park Ridge, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
135 N Northwest HwyPark Ridge, IL 60068-3341
Phone: (847) 823-5077
Fax: (847) 823-0371
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Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 0160003281 (IL) |
|---|
Record details
| NPI number | 1982684601 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2006 |
| Last updated in NPPES | December 5, 2014 |
| Mailing address | 135 N Northwest Hwy, Park Ridge, IL 60068-3341 |
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