Individual
NICOLE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-7400
Mailing address
4646 N MARINE DR, CHICAGO, IL 60640-5759
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
135.000973
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2017
Last updated
06/18/2017
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