Search › Illinois › 106H00000X
Sparkle Nicks
NPI 1124627005 · on the registry since 2020
Practice
- Address
- 10508 Churchill Dr
Peoria, IL 61615 - Phone
- (309) 706-3676
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Sex
- Female
- Record last updated
- 2020-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois