Search › Illinois › 207RP1001X
Kieran Nicholson, M.D
NPI 1205843653 · on the registry since 2006 · sole proprietor
Practice
- Address
- 7803 Drew Ave
Burr Ridge, IL 60527 - Phone
- (630) 650-8392
- Fax
- (630) 317-3310
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-11-29
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