Search › Illinois › 222Q00000X
Nicole Wynn
NPI 1568699619 · on the registry since 2009 · sole proprietor
Practice
- Address
- 8362 Sassafras Rd
Du Quoin, IL 62832 - Phone
- (618) 542-4234
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Sex
- Female
- Record last updated
- 2009-06-16
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