Organization · Type 2 NPI
Jordan Nichols
Foot Surgery Podiatrist · Park Ridge, IL
NPI number
1679756001
Active
Practice location
135 N Northwest Hwy
Park Ridge, IL 60068
Fax (847) 823-0371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | None listed |
Foot Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1679756001
Jordan Nichols's National Provider Identifier is 1679756001, issued on Dec 7, 2007. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Park Ridge, IL. The record was last updated on Mar 14, 2008.