Individual
DR. RICHARD ANTHONY NIOLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
500 N DEARBORN ST, SUITE 1012, CHICAGO, IL 60610-4900
(773) 507-6054
Mailing address
5455 N SHERIDAN RD, #3708, CHICAGO, IL 60640-1958
(773) 561-1525
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633527
BCBS PIN NUMBER
IL
Enumeration date
09/20/2006
Last updated
07/08/2007
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