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Organization

MARGRET NICKELS PSYCHOLOGIST LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARGRET M NICKELS PHD (CLINICAL PSYCHOLOGIST)
(773) 636-2840
Entity
Organization

Contact information

Practice address
5113A S HARPER AVE, CHICAGO, IL 60615-4119
(773) 636-2840
Mailing address
5201 S CORNELL AVE APT 15A, CHICAGO, IL 60615-4201
(773) 636-2840

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538318381
NPI1
IL
Enumeration date
09/24/2025
Last updated
09/24/2025
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