Individual
NICHOLAS DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
912 S WOOD ST, CHICAGO, IL 60612-4300
(312) 996-2200
Mailing address
912 S WOOD ST, CHICAGO, IL 60612-4300
(129) 962-2003
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
198.000715
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.018300
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209018300
IL
Other
Enumeration date
08/05/2007
Last updated
10/23/2024
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