Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 8537 | KY |
Y | 1223G0001X | General Practice | 019018298 | IL |
Y | 213EG0000X | General Practice | 019018298 | IL |
N | 1223G0001X | General Practice | 8537 | KY |
N | 213EG0000X | General Practice | 8537 | KY |
N | 1223P0700X | Prosthodontist | DS 00870 | MO |
NPI | 1003018995 |
---|---|
Provider Name | Dr. Patricia Nihill |
First Address | Geneva, IL 60134-3560 |
Second Address | Wheaton, IL 60187-4846 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2007 |
Last Update Date | 09/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100044080 | (05) | KY |