Individual
JESSICA M NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4400 W 95TH ST STE 404, OAK LAWN, IL 60453-7216
(708) 684-3980
(708) 684-3980
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-2940
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.131342
IL
Other
Enumeration date
04/08/2010
Last updated
10/05/2023
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