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Jacqueline Nichols
NPI 1821752494 · on the registry since 2021
Practice
- Address
- 130 S Main St # 1
Lombard, IL 60148 - Phone
- (630) 527-3645
Additional practice sites
- 303 W Lake St # 1, Addison, IL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-04
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