Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE ANN HARTSOUGH, M.D.
Active Sole ProprietorDermatology · LOVES PARK, IL
Registration Details
- NPI Number
- 1962400382
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2005 (20.783116342974 yrs)
- Last Updated
- Oct 18, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
7402 E RIVERSIDE BLVDLOVES PARK, IL, 611115630Browse IL providers · Browse ZIP 61111
- Phone
- 8152269642
- Fax
- 8152269672
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in LOVES PARK, IL
| Name | Credential | NPI |
|---|---|---|
| DR. AASHISH TANEJA | MD | 1992907893 |
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.