Individual
MS. ROSEMARY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9150 CRAWFORD, SUITE 202, SKOKIE, IL 60076
(773) 743-9955
Mailing address
7655 N SHERIDAN RD, 2 SOUTH, CHICAGO, IL 60626-1378
(773) 743-9955
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01627699
BLUE CROSS BLUE SHIELD ID
IL
Enumeration date
09/27/2006
Last updated
07/08/2007
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