NICOLE PHELPS

OSWEGO, IL
NPI1184086381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036148771)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  125068111)
Enumeration Date2016-03-26
Last Update Date2021-12-22
Business Address
NICOLE PHELPS
80 TEMPLETON DR
OSWEGO, IL 60543
Phone number: 630-554-3456
Mailing Address
NICOLE PHELPS
80 TEMPLETON DR
OSWEGO, IL 60543-7000
Phone number: 630-554-3456