Dooley, Nickole A.

Dooley, Nickole A. is an individual health care provider with primary practice located at 103 S Greenleaf St Suite J, Gurnee IL 60031-3380. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dooley, Nickole A. can be contacted via phone (847) 599-8899.

Contact Information

Primary practice address
103 S Greenleaf St Suite J Gurnee IL 60031-3380
Phone: (847) 599-8899
Fax: (847) 599-8897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-116737 Illinois

Profile Details

NPI number 1720203789
LBN Legal business name Dooley, Nickole A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Feb 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720203789 NPPES
Illinois Other 036-116737 IL STATE LIC

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