Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE S MCCULLOUGH
Active Sole ProprietorPoint of Service · FRANKLIN PARK, IL
Registration Details
- NPI Number
- 1225789639
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 17, 2022 (4.260460392524 yrs)
- Last Updated
- Oct 5, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
3218 LOUIS STFRANKLIN PARK, IL, 601311804Browse IL providers · Browse ZIP 60131
- Phone
- 7735539648
- Primary Specialty
-
Point of Service
305S00000X
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.