Individual
DR. PETER WARNER NICHOLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E IRVING PARK RD, STREAMWOOD, IL 60107-3201
(630) 837-9000
Mailing address
904 W DIVERSEY PKWY APT 2W, CHICAGO, IL 60614-1468
(626) 253-0786
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036.118548
IL
Other
Enumeration date
06/19/2007
Last updated
11/16/2011
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