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Contact Information

TERRY L NICOLA, M.D., M.S.
839 W ROOSEVELT RD
SUITE #102
CHICAGO, IL60608-1530
 Phone: 312-355-4404
 Fax: 312-413-7337
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for TERRY L NICOLA · (Male)

NPI Number 1780622746
Status Active
Credentials M.D., M.S.
Entity Individual
Enumeration date 06/03/2006
Last updated 02/18/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036070037
Hospital affiliation(s)
  • UNIVERSITY OF ILLINOIS HOSPITAL - (Acute Care)
    1740 WEST TAYLOR ST SUITE 1400
    CHICAGO, IL 60612
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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