Jordan Bruce Pritikin (NPI# 1770585259, PAC ID# 2163422478) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1770585259 |
| PAC ID by PECOS | 2163422478 |
| Professional Enrollment ID | I20070111000137 |
| Full Name | Jordan Bruce Pritikin |
| Organization Legal Name | CHICAGO NASAL AND SINUS CENTER S C |
| Address |
111 W Washington St Suite 903 Chicago IL 60602-2762 |
| Phone Number | 3123729355 |
| Gender | M |
| Credential | MD |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1990 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 1254333867 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140224 | PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO |
| Address | Phone | Organization |
|---|---|---|
| 111 W Washington St, Suite 903, Chicago, IL 60602-2762 | 3123729355 | CHICAGO NASAL AND SINUS CENTER S C |
| 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 3123729355 | CHICAGO NASAL AND SINUS CENTER S C |
| Organization Legal Name | CHICAGO NASAL AND SINUS CENTER S C |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Brussee | Physician Assistant | Chicago Nasal and Sinus Center S C | 111 W Washington St, Suite 903, Chicago, IL 60602-2762 |
| Jacquelynne P Corey | Otolaryngology | Chicago Nasal and Sinus Center S C | 111 W Washington St, Suite 903, Chicago, IL 60602-2762 |
| Daniel E Martin | Qualified Speech Language Pathologist | Chicago Nasal and Sinus Center S C | 111 W Washington St, Suite 903, Chicago, IL 60602-2762 |
| Street Address |
111 W WASHINGTON ST SUITE 903 |
| City | CHICAGO |
| State | IL |
| Zip | 60602-2762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Brussee | Physician Assistant | Chicago Nasal and Sinus Center S C | 111 W Washington St, Suite 903, Chicago, IL 60602-2762 |
| Devin P Stumpf | Clinical Social Worker | Tazwood Mental Health Center Inc | 111 W Washington St, East Peoria, IL 61611-2532 |
| Oyinade M Aderibigbe | Dermatology | Northwestern Medical Faculty Foundation | 111 W Washington St, Suite 1801, Chicago, IL 60602-3430 |
| Jacquelynne P Corey | Otolaryngology | Chicago Nasal and Sinus Center S C | 111 W Washington St, Suite 903, Chicago, IL 60602-2762 |
| Ahmad Z Amin | Dermatology | Northwestern Medical Faculty Foundation | 111 W Washington St, Suite 1801, Chicago, IL 60602-3430 |
| Daniel E Martin | Qualified Speech Language Pathologist | Chicago Nasal and Sinus Center S C | 111 W Washington St, Suite 903, Chicago, IL 60602-2762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Pesenko | Podiatry | 25 E Washington, 701 Loop Foot Health Center, Chicago, IL 60602 | |
| Angelica Perez | Optometry | Perez Eye Care, Inc | 25 E Washington St, Suite 820, Chicago, IL 60602-1700 |
| Patricia Perez Vorona | Optometry | Perez Eye Care, Inc | 25 E Washington St, Suite 820, Chicago, IL 60602-1700 |
| Emily Elizabeth Davis | Optometry | Perez Eye Care, Inc | 25 E Washington St, Suite 820, Chicago, IL 60602-1700 |
| Michael G Luban | Chiropractic | 25 E Washington St, Suite 61, Chicago, IL 60602-1702 | |
| Jeanne Marie Pozy | Clinical Social Worker | 25 E Washington St, Suite 1041, Chicago, IL 60602-1708 | |
| Julia A Dyer | Gastroenterology | 25 E Washington St, Suite 1116, Chicago, IL 60602-1708 | |
| Christopher T Mullett | Gastroenterology | The Board of Trustees of The University of Illinois | 25 E Washington St, Uic Ophthalmology, Chicago, IL 60602-1708 |
| Ban Husni Al-sayyed | Pediatric Medicine | The Board of Trustees of The University of Illinois | 25 E Washington St, Uic Ophthalmology, Chicago, IL 60602-1708 |
| David B Shanker | Dermatology | 25 E Washington St, Suite 1131, Chicago, IL 60602-1710 | |
| Find all physicians in zip 60602 | |||
| City | CHICAGO |
| Zip Code | 60602 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | CHICAGO + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Jordan Bruce Pritikin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.