Nichell Tidwell in Chicago - Pediatric Emergency Medicine
Nichell Tidwell - NPI 1740200765
Nichell Tidwell is a Pediatric Emergency Medicine in Chicago, Illinois. Nichell Tidwell practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Nichell Tidwell is 1740200765. The last update date is 2020-04-29.
Nichell Tidwell's current location address is 225 E Chicago Ave # 152, Chicago, Illinois. You can contact this provider via phone number 8005437362. The mailing address for Nichell Tidwell is 225 E Chicago Ave # 152, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nichell Tidwell |
|---|---|
| Address | 225 E Chicago Ave # 152, Chicago, Illinois |
| Phone Number | 8005437362 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1740200765 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2020-04-29 |
Provider Mailing Address Detail
| Address | 225 E Chicago Ave # 152 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606112991 |
| Phone Number | 8005437362 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 207Pp0204X |
| Licence No | 36086376 |
|
Definition: Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36086376 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Nichell Tidwell?
The Nichell Tidwell has been issued the NPI (National Provider Identifier) 1740200765 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Nichell Tidwell located?
The Nichell Tidwell is located at 225 E Chicago Ave # 152, Chicago, IL 606112991.
What is Nichell Tidwell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nichell Tidwell is Pediatric Emergency Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Pp0204X.
On what date did the Centers for Medicare & Medicaid Services issue the 1740200765 to Nichell Tidwell?
The Nichell Tidwell received its 1740200765 assignment from the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date was the information pertaining to Nichell Tidwell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nichell Tidwell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-04-29.