Nickless, John

Nickless, John is an individual health care provider with primary practice located at 1611 W. Harrison St. , Chicago IL 60612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Nickless, John can be contacted via phone (312) 243-4244.

Contact Information

Primary practice address
1611 W. Harrison St. Chicago IL 60612
Phone: (312) 243-4244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125.063116 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036.139134 Illinois

Profile Details

NPI number 1447699186
LBN Legal business name Nickless, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2013
Last updated Jul 22nd, 2016 - about 9 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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