Individual
DR. DARRELL LEE NICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
114 CARY ST, CARY, IL 60013-2706
(847) 604-0115
(847) 462-8718
Mailing address
114 CARY ST, CARY, IL 60013-2706
(847) 604-0115
(847) 462-8718
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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