Individual
DR. JOHN NICKLESS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 W. HARRISON ST., CHICAGO, IL 60612
(312) 243-4244
Mailing address
1611 W HARRISON ST, CHICAGO, IL 60612-4861
(312) 243-4244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.063116
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036.139134
IL
Other
Enumeration date
06/16/2013
Last updated
07/22/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us