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Jordan Nichols
NPI 1982684601 · on the registry since 2006 · sole proprietor
Practice
- Address
- 135 N Northwest Hwy
Park Ridge, IL 60068 - Phone
- (847) 823-5077
- Fax
- (847) 823-0371
- Organisation at this address
- Jordan Nichols
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Podiatrist
213E00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois