Individual
NICOLE BUBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611-5970
(312) 695-0990
(312) 695-1106
Mailing address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611-5970
(312) 695-0990
(312) 695-1106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007652
IL
Other
Enumeration date
11/07/2017
Last updated
09/27/2022
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