Mott, Nicole R
Mott, Nicole R is an individual health care provider with primary practice located at 17495 La Grange Rd , Tinley Park IL 60487-7581. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mott, Nicole R can be contacted via phone (708) 364-3163.Contact Information
Primary practice address
17495 La Grange Rd
Tinley Park IL 60487-7581
Phone: (708) 364-3163
Fax: (708) 226-1969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 36112820 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036112820 | Illinois |
Profile Details
| NPI number | 1093732034 |
|---|---|
| LBN Legal business name | Mott, Nicole R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Oct 23rd, 2023 - about last year |
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.
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