Search › Illinois › 101YP2500X
Lisa Nicklas
NPI 1548552078 · on the registry since 2011
Practice
- Address
- 1790 Nations Dr Ste 116
Gurnee, IL 60031 - Phone
- (847) 245-6567
- Organisation at this address
- One Hope United
One Hope United
Eye Care 4 U, S.C.
Timothy Casey Dpm Pc
Brightstar HealthcareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 41
Additional practice sites
- 1021 N Mulford Rd, Rockford, IL
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
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