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Contact Information

NICOLE LEGATE, PHD
3424 S STATE ST
CHICAGO, IL60616-5374
 Phone: 310-266-4520
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NICOLE LEGATE · (Female)

NPI # 1669291662
Status Active
Credentials PHD
Entity Individual
Enumeration date 10/07/2024
Last updated 10/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 071.011310
Hospital affiliation(s) Not Available
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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