Individual
NICOLE JEAN WAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(215) 349-5200
(215) 615-3997
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036.174377
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2022
Last updated
06/18/2025
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