Individual
NOLAN DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3416 S HALSTED ST, CHICAGO, IL 60608-6708
(708) 954-6705
Mailing address
340 MANISTEE AVE, CALUMET CITY, IL 60409-1909
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
041.516823
IL
363L00000X
Nurse Practitioner
Primary
209.035146
IL
Other
Enumeration date
09/08/2025
Last updated
04/08/2026
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