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Organization

JORDAN NICHOLS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORDAN NICHOLS DPM (OWNER)
(847) 823-5077
Entity
Organization

Contact information

Practice address
135 N NORTHWEST HWY, PARK RIDGE, IL 60068
(847) 823-5077
(847) 823-0371
Mailing address
135 N NORTHWEST HWY, PARK RIDGE, IL 60068
(847) 823-5077
(847) 823-0371

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary

Other

Enumeration date
12/07/2007
Last updated
03/14/2008
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