Most Relevant Information
Provider Data
| NPI Number: | 1003015595 |
| Provider Name: | FAITH C. M. MCNICHOLAS CPC |
| Entity Type: | Individual |
| Taxonomy Code: | 246Z00000X |
| Specialty: | Specialist/Technologist, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/13/2007 |
| Last Updated: | 07/13/2007 |
Provider Practice Location
5244 W GREENWOOD AVE
SKOKIE
IL
60077
Practice Location Phone/Fax
| Phone: | 8479658552 |
| Fax: | 8479658552 |
Provider Mailing Location
PO BOX 682
SKOKIE
IL
600760682
Provider Mailing Phone/Fax
| Phone: | 8479658552 |
| Fax: | 8479658552 |