Individual
NICOLE S MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3218 LOUIS ST, FRANKLIN PARK, IL 60131-1804
(773) 553-9648
Mailing address
3218 LOUIS ST, FRANKLIN PARK, IL 60131-1804
(773) 553-9648
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
10/05/2025
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