Nicholson, Gregory P.

Nicholson, Gregory P. is an individual health care provider with primary practice located at 1611 W Harrison St Ste, Chicago IL 60612-3841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Nicholson, Gregory P. can be contacted via phone (312) 243-4244.

Contact Information

Primary practice address
1611 W Harrison St Ste Chicago IL 60612-3841
Phone: (312) 243-4244
Fax: (312) 942-1517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036105551 Illinois

Profile Details

NPI number 1477532141
LBN Legal business name Nicholson, Gregory P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Sep 18th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477532141 NPPES
Illinois Other 207073 MEDICARE PTAN LOCALITY #15
Illinois Other 207067 MEDICARE PTAN LOCALITY #15
Illinois Other 4247771 MEDICARE PTAN LOCALITY #15
Illinois Other P00065134 MEDICARE PTAN LOCALITY #15
Illinois Other DA4902 MEDICARE PTAN LOCALITY #15
Illinois Other 1633878 MEDICARE PTAN LOCALITY #15

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