Individual
NICHOLAS J IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
1150 N MILWAUKEE AVE APT 3A, CHICAGO, IL 60642-4328
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
041.491608
IL
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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