Individual
PAMELA ELAINE NICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 E 55TH ST, CHICAGO, IL 60615
(773) 702-0660
Mailing address
800 E 55TH ST, CHICAGO, IL 60615-4906
(773) 795-2260
(773) 834-3756
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-090438
IL
Other
Enumeration date
04/19/2006
Last updated
06/04/2018
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