NICOLE LUM

CHICAGO, IL
NPI1689311300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125.080507)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-05-14
Last Update Date2022-06-27
Business Address
NICOLE LUM
5841 S MARYLAND AVE # MC7082
CHICAGO, IL 60637-1443
Phone number: 773-702-6840
Mailing Address
NICOLE LUM
150 HARVESTER DR STE 300
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150