Nichols, Jeffrey William
Nichols, Jeffrey William is an individual health care provider with primary practice located at 18440 Governors Hwy , Homewood IL 60430-2911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Nichols, Jeffrey William can be contacted via phone (708) 798-2191.Contact Information
Primary practice address
18440 Governors Hwy
Homewood IL 60430-2911
Phone: (708) 798-2191
Fax: (708) 798-2317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036069554 | Illinois |
Profile Details
| NPI number | 1992809941 |
|---|---|
| LBN Legal business name | Nichols, Jeffrey William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992809941 | NPPES |
| Illinois | MEDICAID | 036069554 |
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