Individual
AIDEN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNM, APN
Contact information
Practice address
4700 S CALIFORNIA AVE, CHICAGO, IL 60632-2016
(917) 721-3024
Mailing address
4700 S CALIFORNIA AVE, CHICAGO, IL 60632-2016
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
277000413
IL
367A00000X
Advanced Practice Midwife
277.000413
IL
Other
Enumeration date
11/19/2014
Last updated
08/08/2024
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