ANGELA DAWN MCNICHOLS


Address: 2800 N Sheridan Rd, Suite 108, Chicago, IL 60640-6064
Phone: 7733441995

ANGELA DAWN MCNICHOLS (NPI# 1679096572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679096572
Entity Type Individual
Full Name ANGELA DAWN MCNICHOLS
Credential PSY.D
Practice Address 2800 N Sheridan Rd
Suite 108
Chicago
IL 60640-6064
Mailing Address 5350 N Glenwood Ave Apt Gw
Chicago
IL 60640-2299
Practice Telephone 7733441995
Mailing Telephone 7734561045
Enumeration Date 2017-07-23
Last Update Date 2017-07-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
071.009457 IL Behavioral Health & Social Service Providers

Office Location

Street Address 2800 N SHERIDAN RD
SUITE 108
City CHICAGO
State IL
Zip Code 60640-6064

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1881293108 Haley Michelle Sims Psychologist 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 2020-10-19
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Competitor

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City CHICAGO
Zip Code 60640

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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