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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. HANNAH RAE NUCKOLS, D.O.

Active Sole Proprietor

DR. HANNAH RAE NUCKOLS, D.O. is a Internal Medicine healthcare provider located in PARK RIDGE, Illinois. NPI 1093075434 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · PARK RIDGE, IL

Registration Details

NPI Number
1093075434
Provider Type
Individual
Gender
Female
NPI Issued
May 18, 2012 (14.26979315523 yrs)
Last Updated
Mar 10, 2023
Licenses
336099716 (IL)
036138457 (IL)
Sole Proprietor
Yes

Practice Information

Address
1775 DEMPSTER ST STE E592B
PARK RIDGE, IL, 600681143
Browse IL providers · Browse ZIP 60068
Phone
8477238080
Fax
8477234378
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in PARK RIDGE, IL

Name Credential NPI
LAWRENCE R PANKAU MD 1497758114
VOULA ASIMACOPOULOS MD 1114920824
MICHAEL L GREISING MD 1629071329
DR. NICHOLAS S PAPANOS M.D. 1134110448
DR. SYED KAZIM RAZA MD 1164497210
DR. ANDREY LEV-WEISSBERG MD 1245206655
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.