Nickless, Diane
Nickless, Diane is an sole proprietor health care provider with primary practice located at 11114 Karen Dr , Orland Park IL 60467-4482. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nickless, Diane can be contacted via phone (773) 791-9884.Contact Information
Primary practice address
11114 Karen Dr
Orland Park IL 60467-4482
Phone: (773) 791-9884
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149013771 | Illinois |
Profile Details
| NPI number | 1891221974 |
|---|---|
| LBN Legal business name | Nickless, Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2017 |
| Last updated | May 10th, 2017 - about 9 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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