Individual
TERRY L NICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
839 W ROOSEVELT RD, SUITE #102, CHICAGO, IL 60608-1530
(312) 355-4404
(312) 413-7337
Mailing address
835 S WOLCOTT AVE, MC 844, CHICAGO, IL 60612-3748
(312) 355-4404
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036070037
IL
Other
Enumeration date
06/03/2006
Last updated
02/18/2009
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