Jordan Nichols is a Foot Surgery in Park Ridge, Illinois. Jordan Nichols practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Jordan Nichols is 1679756001. The last update date is 2008-03-14.
Jordan Nichols's current location address is 135 N Northwest Hwy, Park Ridge, Illinois. You can contact this provider via phone number 8478235077 and fax number 8478230371. The mailing address for Jordan Nichols is 135 N Northwest Hwy, Park Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jordan Nichols |
|---|---|
| Address | 135 N Northwest Hwy, Park Ridge, Illinois |
| Phone Number | 8478235077 |
| Fax Number | 8478230371 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Nichols Jordan |
| Credentials | DPM |
| Telephone Number | 8478235077 |
NPI Number Detail
| NPI Number | 1679756001 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| Last Updated Date | 2008-03-14 |
Provider Mailing Address Detail
| Address | 135 N Northwest Hwy |
|---|---|
| City | Park Ridge |
| State | Illinois (IL) |
| Post Code | 60068 |
| Phone Number | 8478235077 |
| Fax Number | 8478230371 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jordan Nichols by the Centers for Medicare & Medicaid Services?
The Jordan Nichols has been assigned the NPI (National Provider Identifier) 1679756001 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jordan Nichols?
The Jordan Nichols is physically situated at 135 N Northwest Hwy, in the city of Park Ridge, state of IL, with the postal code 60068.
What is Jordan Nichols's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jordan Nichols's area of specialization is Foot Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0131X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679756001 to Jordan Nichols?
The Jordan Nichols received its 1679756001 assignment from the Centers for Medicare & Medicaid Services on 2007-12-07.
When was the information pertaining to Jordan Nichols most recently updated or revised?
The details related to Jordan Nichols, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-14.