Individual
MARGRET M NICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
420 N WABASH AVE, CHICAGO, IL 60611-3568
(312) 893-7194
Mailing address
420 N WABASH AVE, CHICAGO, IL 60611-3568
(312) 893-7194
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005246
IL
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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