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JORDAN NICHOLS
NPI 1982684601
Podiatrist in Park Ridge, IL

Active since January 19, 2006
135 N NORTHWEST HWY, PARK RIDGE, IL 60068(847) 823-5077(847) 823-0371 Get Directions Write a Review

NPPES record last updated: December 5, 2014. 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 1982684601) is an individual podiatrist in Park Ridge, Illinois, licensed in Illinois (0160003281) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1982684601
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameJORDAN NICHOLS
Location Address135 N NORTHWEST HWYPark Ridge, IL 60068-3341
Mailing Address135 N Northwest HwyPark Ridge, IL 60068-3341 · (847) 823-5077 · Fax (847) 823-0371
Phone(847) 823-5077
Fax(847) 823-0371
Sole ProprietorYes
Enumeration DateJanuary 19, 2006
Last NPPES UpdateDecember 5, 2014
✔ NPI 1982684601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 0160003281
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
135 N NORTHWEST HWY, Park Ridge, IL 60068
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Other Identifiers 3

Medicare PIN683700IL
Medicare NSC5023100001IL
Medicare UPINT37817

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 (Foot Surgery)
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 1982684601. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Jordan Nichols located?

Jordan Nichols practices 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 with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Jordan Nichols was last updated on December 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.