Individual
MRS. NICOLE HENRY CREPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 N. ST. CLAIR, GALTER PAVILION, 15TH FLOOR, ROOM 200, CHICAGO, IL 60611
(312) 695-8182
Mailing address
675 N. ST. CLAIR, GALTER PAVILION, 15TH FLOOR, ROOM 200, CHICAGO, IL 60611
(504) 273-3830
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
125079594
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
07/08/2020
Last updated
10/11/2022
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