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Search › Illinois › Family Medicine Physician

Nichole Mirocha, D.O

NPI 1457573388 · on the registry since 2007

Practice

Address
520 N 4th St
Springfield, IL 62702
Phone
(217) 757-8100
Fax
(217) 747-1351
Organisation at this address
Board Of Trustees Of Southern Illinois University
Board Of Trustees Of Southern Illinois University
Board Of Trustees Of Southern Illinois University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
140

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-10-16

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