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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 Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JORDAN B PRITIKIN · (Male)

NPI Number 1770585259
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2005
Last updated 09/14/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036087346
  • IL Medicaid 036087346
  • IL Other 040017908 RRMC
Hospital affiliation(s)
  • SAINT JOSEPH HOSPITAL - (Acute Care)
    2900 NORTH LAKE SHORE DRIVE
    CHICAGO, IL 60657
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.

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