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NPI Code Detail

MEDICARE: NICOLE J MEUNIER MD

MEDICARE: NICOLE J MEUNIER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician70614-20WI
2207N00000XDermatology Physician036.148268IL

General Provider Information

NPI Number : 1457662561
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE J MEUNIER MD
Provider Business Mailing Address
First Line : 2500 W HIGGINS RD
Second Line : STE 1040
City : HOFFMAN ESTATES
State : IL
Zip : 60169-7220
Country : US
Telephone Number : 708-634-4602
Fax Number : 630-495-1770
Provider Business Practice Location Address
First Line : 2500 W HIGGINS RD STE 1040
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-2049
Country : US
Telephone Number : 815-744-8554
Fax Number : 630-495-1770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2010
Last Update Date : 02/04/2022

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