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Individual
NICOLE D KING
Active
Individual
NICOLE D KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-096686
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061621
TRICARE
IL
01
—
1634166
BC/BS
IL
01
—
3474878
AETNA HMO
IL
01
—
7779286
AETNA PPO
IL
01
—
CIGNA
7455146
IL
01
—
DD6694
RAILROAD MEDICARE
IL
01
—
P00244611
RAILROAD MEDICARE
IL
Enumeration date
02/07/2006
Last updated
04/01/2026
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