HANNAH RAE NUCKOLS

PARK RIDGE, IL
NPI1093075434
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036138457)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  336099716)
Enumeration Date2012-05-18
Last Update Date2023-03-10
Business Address
Dr. HANNAH RAE NUCKOLS D.O.
1775 DEMPSTER ST STE E592B
PARK RIDGE, IL 60068-1143
Phone number: 847-723-8080
Mailing Address
Dr. HANNAH RAE NUCKOLS D.O.
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900