Individual
CHAD DOUGLAS NIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE STE J141, CHICAGO, IL 60637-1443
(773) 702-1150
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125.083995
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
125.083995
IL
Other
Enumeration date
04/15/2024
Last updated
08/12/2024
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