Individual
NICOLE MARIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
260 S SCHMIDT RD STE G, BOLINGBROOK, IL 60440-3087
(630) 754-7760
Mailing address
260 S SCHMIDT RD STE G, BOLINGBROOK, IL 60440-3087
(630) 754-7760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041419970
IL
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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