JORDAN NICHOLS; NPI #1679756001

Contact Information

JORDAN NICHOLS

135 N NORTHWEST HWY
PARK RIDGE, IL 60068

Phone: 847-823-5077
Fax: 847-823-0371
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for JORDAN NICHOLS

NPI #	`1679756001`
LBN Legal business name	JORDAN NICHOLS
Authorized official	JORDAN NICHOLS - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/07/2007
Last updated	03/14/2008 - About 18 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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