NPI Profile for JORDAN NICHOLS in PARK RIDGE, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot |
213ES0131X | 48 | Podiatry |
| NPI Number | 1679756001 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/07/2007 | |
| Last updated | 03/14/2008 - About 18 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JORDAN NICHOLS
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