Individual
JESSICA NICOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
225 E CHICAGO AVE, BOX 59, CHICAGO, IL 60611-2991
(312) 227-6123
(312) 227-9413
Mailing address
225 E CHICAGO AVE, BOX 59, CHICAGO, IL 60611-2991
(312) 227-6123
(312) 227-9413
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
247000065
IL
Other
Enumeration date
01/12/2016
Last updated
04/21/2017
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