Pritikin, Jordan B

Pritikin, Jordan B is an sole proprietor health care provider with primary practice located at 111 W Washington St Suite 903, Chicago IL 60602-2703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Pritikin, Jordan B can be contacted via phone (312) 372-9355.

Contact Information

Primary practice address
111 W Washington St Suite 903 Chicago IL 60602-2703
Phone: (312) 372-9355
Fax: (312) 372-9356
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 036087346 Illinois

Profile Details

NPI number 1770585259
LBN Legal business name Pritikin, Jordan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Sep 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770585259 NPPES
Illinois Other 040017908 RRMC
Illinois MEDICAID 036087346 RRMC

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