Individual
DR. DAVID W MCNICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0361036581
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361036581
—
IL
01
—
068148
HEALTHALLIANCE
IL
01
—
2500053
BCBS
IL
01
—
340018705
RAILROAD MEDICARE IDENT.#
IL
01
—
451985
HEALTHLINK
IL
01
—
CC9824
RAILROAD MEDICARE
IL
Enumeration date
04/18/2006
Last updated
03/03/2008
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