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1780849562
RICHARD EVAN NICHOLS
CHICAGO, IL
NPI
1780849562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036-121270)
Enumeration Date
2008-07-22
Last Update Date
2016-11-29
Business Address
-- RICHARD EVAN NICHOLS M.D.
1501 S CALIFORNIA AVE
CHICAGO, IL 60608-1732
Phone number: 773-257-6498
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Mailing Address
-- RICHARD EVAN NICHOLS M.D.
3707 NEW VISION DR
FORT WAYNE, IN 46845-1702
Phone number: 708-786-2900
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