Individual
DR. TREVOR THOMAS NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST, 18-250, CHICAGO, IL 60611-5975
(312) 695-1800
Mailing address
240 E HURON, PULMONARY AND CRITICAL CARE, CHICAGO, IL 60611
(312) 695-1800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036138195
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036138195
IL
207RP1001X
Pulmonary Disease Physician
Primary
036138195
IL
Other
Enumeration date
08/14/2012
Last updated
06/12/2015
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