Individual
NICOLE MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5858 S SAYRE AVE, CHICAGO, IL 60638-3125
(773) 447-8689
Mailing address
5858 S SAYRE AVE, CHICAGO, IL 60638-3125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041332482
IL
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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