Individual
COURTNEY NICOLE SEVERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3773
(219) 775-2613
Mailing address
162 W ELIZABETH DR, SCHERERVILLE, IN 46375-2176
(219) 775-2613
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A201706
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
A201706
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2019
Last updated
05/22/2025
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