Individual
NICOLE MEREDYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
676 N SAINT CLAIR ST STE 650, CHICAGO, IL 60611-2929
(312) 695-4835
(312) 695-3644
Mailing address
22 COLONIAL SQ, BURLINGTON, VT 05401-1605
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
036165859
IL
Other
Enumeration date
03/24/2015
Last updated
10/11/2023
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