Doctor Name: | FAITH C. M. MCNICHOLAS |
NPI Number: | 1003015595 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPC |
License Number: | |
Business Practice Address: | 5244 W Greenwood Ave Skokie, IL - 60077 |
Business Phone Number: | 8479658552 |
Business Fax Number: | 8479658552 |
Mailing Address: | Po Box 682, SKOKIE |
State: | IL |
Postal Code: | 600760682 |
Phone Number: | 8479658552 |
Fax Number: | 8479658552 |
NPI Enumeration Date: | 07/13/2007 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |