Nicole Henry Creppel, MD
Otolaryngology in Chicago, IL. Individual provider (NPI-1).
NPI number1164040978
StatusActive
Last updated in NPPESOct 11, 2022
Details
- NPI
- 1164040978
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole Henry Creppel
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2020
- Certification date
- Oct 11, 2022
- Last updated
- Oct 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 125079594 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | TN |
Other names
- Nicole Henry Creppel (Former Name)
Practice location
675 N. St. ClairGalter Pavilion, 15th Floor, Room 200
Chicago, IL 60611
Phone 312-695-8182
Mailing address
675 N. St. ClairGalter Pavilion, 15th Floor, Room 200
Chicago, IL 60611
Phone 504-273-3830
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