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General NPI Number Information
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NPI Number | 1962375253
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Entity Type | Organization
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Legal Business Name | MARGRET NICKELS PSYCHOLOGIST LTD
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 5113A S HARPER AVE
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City | CHICAGO
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State | IL
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Zip | 60615-4119
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Country | US
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Telephone | 773-636-2840
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Fax |
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Provider Business Mailing Address
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Address Line | 5201 S CORNELL AVE APT 15A
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City | CHICAGO
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State | IL
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Zip | 60615-4201
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Country | US
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Telephone | 773-636-2840
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. MARGRET M NICKELS
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Credential | PHD
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Telephone | 773-636-2840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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