NPI 1982684601

Jordan Nichols

Practitioner Podiatrist Park Ridge, IL

Practice location

Address: 135 N Northwest Hwy, Park Ridge, IL 60068-3341
Phone: (847) 823-5077
Fax: (847) 823-0371

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 0160003281 (IL)

Other Podiatrist providers in Illinois →

Registry record

NPI: 1982684601
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2006
Record last updated: 5 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.