Individual
NIKYA CHILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1139
(708) 671-2685
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003138
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003138
LICENSE NUMBER
IL
Enumeration date
03/27/2008
Last updated
04/22/2021
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