Dooley, Nickole A.
Dooley, Nickole A. is an individual health care provider with primary practice located at 103 S Greenleaf St Suite J, Gurnee IL 60031-3380. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dooley, Nickole A. can be contacted via phone (847) 599-8899.Contact Information
Primary practice address
103 S Greenleaf St Suite J
Gurnee IL 60031-3380
Phone: (847) 599-8899
Fax: (847) 599-8897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-116737 | Illinois |
Profile Details
| NPI number | 1720203789 |
|---|---|
| LBN Legal business name | Dooley, Nickole A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Feb 10th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720203789 | NPPES |
| Illinois | Other | 036-116737 | IL STATE LIC |
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