Provider Demographics
NPI:1932446291
Name:CHURCHILL, NICHOLE (CD(DONA))
Entity Type:Individual
Prefix:MS
First Name:NICHOLE
Middle Name:
Last Name:CHURCHILL
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 SARATOGA PARKWAY
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:IL
Mailing Address - Zip Code:60118
Mailing Address - Country:US
Mailing Address - Phone:224-241-2008
Mailing Address - Fax:
Practice Address - Street 1:930 SARATOGA PKWY
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:IL
Practice Address - Zip Code:60118-2537
Practice Address - Country:US
Practice Address - Phone:224-241-2008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula