Individual
TAYLOR NICOLE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7833 S COLES AVE, CHICAGO, IL 60649-4807
(319) 850-7000
Mailing address
7833 S COLES AVE, CHICAGO, IL 60649-4807
(319) 850-7000
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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