Individual
NICHOLE K WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N WABASH AVE STE 1203, CHICAGO, IL 60602-3095
(773) 448-7218
Mailing address
111 N WABASH AVE STE 1203, CHICAGO, IL 60602-3095
(773) 448-7218
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
02/09/2023
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