Jordan Nichols

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

JORDAN NICHOLS

Practice address

135 N Northwest Hwy
Park Ridge, IL 60068

Phone

(847) 823-5077

Fax

(847) 823-0371

NPI assigned

Dec 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jordan Nichols, DPM

Title

Owner

Phone

(847) 823-5077

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1679756001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-823-5077",
            "fax_number": "847-823-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-823-5077",
            "fax_number": "847-823-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN NICHOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-823-5077",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Jones
• Jaedyn Jones
• Lance Marshall Jones, MD
• Lisa Jones
• Axel W Joob, M.D.
• Deanna Jordan
• Jose M. Galvez MD LTD
• Ancy Joseph, OT
• Stanley Joseph, D.D.S
• Smita S Joshi, M.S.

• Foot Surgery Podiatrist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Foot Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.