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JORDAN NICHOLS
NPI 1679756001
Podiatrist - Foot Surgery in Park Ridge, IL

Active since December 07, 2007
135 N NORTHWEST HWY, PARK RIDGE, IL 60068(847) 823-5077(847) 823-0371 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan Nichols NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN NICHOLS (NPI 1679756001) is a healthcare organization registered as a foot surgery in Park Ridge, Illinois and active in the NPI registry since December 2007. The organization lists Jordan Nichols, Owner, as its authorized official.

NPPES Registry Identity

NPI1679756001
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameJORDAN NICHOLS
Location Address135 N NORTHWEST HWYPark Ridge, IL 60068
Mailing Address135 N Northwest HwyPark Ridge, IL 60068 · (847) 823-5077 · Fax (847) 823-0371
Phone(847) 823-5077
Fax(847) 823-0371
Organization SubpartNo
Authorized OfficialJordan NicholsOwner · (847) 823-5077
Enumeration DateDecember 7, 2007
Last NPPES UpdateMarch 14, 2008
✔ NPI 1679756001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
135 N NORTHWEST HWY, Park Ridge, IL 60068
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Other Identifiers 2

Medicare UPINT37817IL
Medicare NSC5023100001IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN NICHOLS
Podiatrist
135 N NORTHWEST HWY
PARK RIDGE, IL 60068
Cook County (847) 823-5077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Nichols's NPI number?

The NPI number for Jordan Nichols is 1679756001. It was assigned to this organization in the NPPES registry on December 7, 2007.

Where is Jordan Nichols located?

Jordan Nichols is located at 135 N Northwest Hwy, Park Ridge, IL 60068. The listed phone number is (847) 823-5077.

What is Jordan Nichols's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Jordan Nichols was last updated on March 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.