Individual
DR. DORIS B NIETERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 SPALDING DR, SUITE 206, NAPERVILLE, IL 60540-6550
(630) 355-6996
(630) 355-0026
Mailing address
1250 N MILL ST, STE 100, NAPERVILLE, IL 60563-6305
(630) 355-6996
(630) 355-6996
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-083727
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-083727
—
IL
Enumeration date
11/25/2005
Last updated
06/02/2016
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