Individual
IAN THOMAS NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 425, CHICAGO, IL 60612-3893
(312) 563-3000
Mailing address
1725 W HARRISON ST STE 425, CHICAGO, IL 60612-3893
(312) 563-3000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
125080861
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2021
Last updated
06/20/2022
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