Individual
JORDAN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 N NORTHWEST HWY, PARK RIDGE, IL 60068-3341
(847) 823-5077
(847) 823-0371
Mailing address
135 N NORTHWEST HWY, PARK RIDGE, IL 60068-3341
(847) 823-5077
(847) 823-0371
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0160003281
IL
Other
Enumeration date
01/19/2006
Last updated
12/05/2014
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