Mourillon, Nicole Eloise

Mourillon, Nicole Eloise is an individual health care provider with primary practice located at 901 Macarthur Blvd , Munster IN 46321-2901. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Mourillon, Nicole Eloise can be contacted via phone (219) 836-4511.

Contact Information

Primary practice address
901 Macarthur Blvd Munster IN 46321-2901
Phone: (219) 836-4511
Fax: (219) 836-7048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01061467A Indiana
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036108186 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 321600 Louisiana

Profile Details

NPI number 1669456018
LBN Legal business name Mourillon, Nicole Eloise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated May 20th, 2024 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669456018 NPPES
Illinois MEDICAID 036108186
Illinois MEDICAID 200872480
Illinois Other 90001082
Illinois Other 000000531125
Illinois Other P00408759

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