Individual
NICOLE JEAN DOUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
5841 S MARYLAND AVE STE E500, CHICAGO, IL 60637-1443
(773) 795-3707
Mailing address
1727 S INDIANA AVE APT 313, CHICAGO, IL 60616-1369
(773) 499-9489
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209030116
IL
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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