Individual
NICOLE WICKLIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 W HARRISON ST FL 3, CHICAGO, IL 60612-3771
(312) 720-5923
Mailing address
1835 W HARRISON ST FL 3, CHICAGO, IL 60612-3771
(312) 720-5923
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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