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

MR. NICHOLAS BIRCH

Active Sole Proprietor

MR. NICHOLAS BIRCH is a Community/Behavioral Health healthcare provider located in RANTOUL, Illinois. NPI 1881368389 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · RANTOUL, IL

Registration Details

NPI Number
1881368389
Provider Type
Individual
Gender
Male
NPI Issued
Aug 6, 2021 (5.0485120531318 yrs)
Last Updated
Sep 11, 2025
Sole Proprietor
Yes

Practice Information

Address
421 E WABASH AVE
RANTOUL, IL, 618663012
Browse IL providers · Browse ZIP 61866
Phone
2176499827
Primary Specialty
Community/Behavioral Health
251S00000X
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.