Individual
FAITH C. M. MCNICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
5244 W GREENWOOD AVE, SKOKIE, IL 60077
(847) 965-8552
(847) 965-8552
Mailing address
PO BOX 682, SKOKIE, IL 60076-0682
(847) 965-8552
(847) 965-8552
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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