Provider Demographics
NPI:1184900029
Name:JANDO, NINOS DANNY (DPM)
Entity type:Individual
Prefix:DR
First Name:NINOS
Middle Name:DANNY
Last Name:JANDO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3319 N ELSTON AVE
Mailing Address - Street 2:SUITE # 200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618
Mailing Address - Country:US
Mailing Address - Phone:773-751-7200
Mailing Address - Fax:773-583-4402
Practice Address - Street 1:3319 N ELSTON AVE
Practice Address - Street 2:SUITE # 200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618
Practice Address - Country:US
Practice Address - Phone:773-751-7200
Practice Address - Fax:773-583-4402
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL016005501213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery