National Provider Identifier Database

JORDAN B PRITIKIN, MD – NPI #1770585259
Plastic Surgery within the Head & Neck

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.


Contact Information

JORDAN B PRITIKIN, MD
111 W WASHINGTON ST
SUITE 903
CHICAGO, IL60602-2703
Phone: 312-372-9355
Fax: 312-372-9356
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X

* Indicates primary specialty

NPI Profile & details for JORDAN B PRITIKIN

NPI Number 1770585259
Credentials MD
Entity Individual
Enumeration date 08/15/2005
Last updated 09/14/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 036087346
  • IL Medicaid: 036087346
  • IL Other: 040017908 RRMC
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JORDAN B PRITIKIN, MD

There are currently no reviews for JORDAN B PRITIKIN, MD


NPIdb - Home
v2.201