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Search › Illinois › 164W00000X

Courtney Nichols

NPI 1518239649 · on the registry since 2012

Practice

Address
1810 W South 3rd St
Shelbyville, IL 62565
Phone
(217) 774-2113
Organisation at this address
Shelby County Community Service Inc
Shelby County Community Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-06

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