Individual
RICHARD EVAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-6498
Mailing address
3707 NEW VISION DR, FORT WAYNE, IN 46845-1702
(708) 786-2900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-121270
IL
Other
Enumeration date
07/22/2008
Last updated
11/29/2016
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